Individual provider Active NPI

Abigail Elizabeth Bloom, SLP

  • Speech-Language Pathologist
  • Pittsburgh, PA
National Provider Identifier
1144067430
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL017791 Issued in PA
Practice address
1010 Delafield Rd
Pittsburgh, PA 15215-1802
Phone
(412) 360-1904
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL017791 PA Primary

Addresses

Primary practice location

1010 Delafield Rd
Pittsburgh, PA 15215-1802

Mailing address

324 Bear Run Dr
Pittsburgh, PA 15237-1473
Phone (412) 996-5152

Other practice location 1

4100 Allequippa Street
Pittsburgh, PA 15240-1003
Phone (412) 360-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL017791PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1144067430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BEAR RUN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152371473",
            "telephone_number": "412-996-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DELAFIELD RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152151802",
            "telephone_number": "412-360-1904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Allequippa Street",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152401003",
            "country_code": "US",
            "telephone_number": "412-360-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.