Karen Bloom, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60074107 Issued in WA

Practice address

1630 Grove St
Marysville, WA 98270-4302

Phone

(360) 653-3500

Fax

(360) 657-3268

NPI assigned

Feb 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Washington Cardiology TR

  dba Western Washington Cardiology

  • Cardiovascular Disease Physician
  • Everett, WA
  • NPI 1114217510
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1144469099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 147TH AVE NE",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982529231",
            "telephone_number": "360-981-1459",
            "fax_number": "360-657-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704302",
            "telephone_number": "360-653-3500",
            "fax_number": "360-657-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60074107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60074107",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "RN00150675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bing Wan, DMD, PLLC (Marysville Endodontics)
• Emma Bishop
• Karsten J Blake, PT
• Bliss at Home LLC
• Shaunnacy Blood
• Christopher J Blue, PT
• Kirsten Bodenhamer
• Christopher Bolander, D.O.
• Jessica Bolden, ARNP
• Melinda Gayle Boonstra

• Family Nurse Practitioner in Marysville, WA
• Providers in Marysville, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.