Paula Jean Bloom, RN IBCLC RLC

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

825 NE 10TH St # 3300
Oklahoma City, OK 73104-5417

Phone

(405) 271-9494

Fax

(405) 271-3727

NPI assigned

Dec 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1235312588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 SANDLEWOOD DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323963",
            "telephone_number": "405-464-7108",
            "fax_number": "405-271-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST # 3300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-9494",
            "fax_number": "405-271-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN IBCLC RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Laub Block, RN, MS, CNS
• James Patrick Block Jr., MD
• Karen Blodgett
• Bloom Mental Health and Wellness Clinic
• Bloom Pediatric Speech LLC
• Kristian Chase Bloomer
• Rebecca Bloomgarden, LCSW
• Blossom ABA Therapy Ok LLC
• Joseph Arden Blough, M.D.
• Alan Craig Blount Jr., BHRS

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.