Active NPI
Bloom Pediatrics Walk in Clinic LLC
- Pediatric Nurse Practitioner
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashlene Karasch, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2331784 | Bloom Pediatrics | Certificate of waiver | Oct 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.