Organization Active NPI

Bloom Holistic Bodywork

  • Massage Therapist
  • Raleigh, NC
National Provider Identifier
1184465684
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLOOM HOLISTIC BODYWORK
Practice address
1215 Jones Franklin Rd
Raleigh, NC 27606-5440
Phone
(919) 780-4188
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Mrs. Erin M Benson, LMT
Title
Licensed Massage Therapist
Phone
(919) 780-4188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1215 Jones Franklin Rd
Raleigh, NC 27606-5440

Mailing address

1100 Open Field Dr
Garner, NC 27529-6809
Phone (919) 780-4188

National Provider Directory

National Provider Directory

Locations

1215 Jones Franklin Rd
Raleigh, NC 27606
Phone (910) 386-8958

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1184465684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OPEN FIELD DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296809",
            "telephone_number": "919-780-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JONES FRANKLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065440",
            "telephone_number": "919-780-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HOLISTIC BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "919-780-4188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.