Organization Active NPI

In Bloom Acupuncture

  • Acupuncturist
  • Tacoma, WA
National Provider Identifier
1205402153
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
IN BLOOM ACUPUNCTURE
Practice address
2201 N 30TH St Ste C
Tacoma, WA 98403-3361
Phone
(253) 265-5116
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Tara McCormick
Title
Owner/Acupuncturist
Phone
(253) 265-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2201 N 30TH St Ste C
Tacoma, WA 98403-3361

Mailing address

2201 N 30TH St
Tacoma, WA 98403-3361

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Onehealthport.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2201 N 30th St
Tacoma, WA 98403

Practitioners & affiliated clinicians

Practitioners 1

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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1205402153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N 30TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N 30TH ST STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033361",
            "telephone_number": "253-265-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BLOOM ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "253-265-5116"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Onehealthport.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Insurance and credentialing",
            "address_1": "2201 N 30th St Ste C",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984033361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.