Organization Active NPI

Bloom Pediatrics Walk in Clinic LLC

  • Pediatric Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1124991443
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
BLOOM PEDIATRICS WALK IN CLINIC LLC
Practice address
5529 Arden Mill Dr Ste 101
Fort Mill, SC 29715-6977
Phone
(808) 721-0179
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashlene Karasch, NPNPI 1891236618
Title
Provider/Owner
Phone
(808) 721-0179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

5529 Arden Mill Dr Ste 101
Fort Mill, SC 29715-6977

Mailing address

5529 Arden Mill Dr Ste 101
Fort Mill, SC 29715-6977
Phone (808) 721-0179

Other names 1

  • Bloom Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2331784Bloom Pediatrics5529 Arden Mill Drive, Ste 101, Fort Mill, SC 29715Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

Locations

5529 Arden Mill Dr
Ste 101
Fort Mill, SC 29715
Phone (803) 280-1085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1124991443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 ARDEN MILL DR STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156977",
            "telephone_number": "808-721-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 ARDEN MILL DR STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156977",
            "telephone_number": "808-721-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PEDIATRICS WALK IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "KARASCH",
        "authorized_official_first_name": "ASHLENE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "808-721-0179",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.