Active NPI
Teresa Barbara Bloom, RN
- Home Health Registered Nurse
- Webberville, MI
National Provider Identifier
1245423912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 4704208979
- Practice address
- 700 S M 52
Webberville, MI 48892-9260 - Phone
- (517) 521-3540
- NPI assigned
- Aug 24, 2007
- Last updated
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704208979 | MI | Primary |
Addresses
Primary practice location
700 S M 52
Webberville, MI 48892-9260
Mailing address
700 S M 52
Webberville, MI 48892-9260
Phone (517) 521-3540
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704208979 | MI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1245423912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S M 52",
"city": "WEBBERVILLE",
"state": "MI",
"postal_code": "488929260",
"telephone_number": "517-521-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S M 52",
"city": "WEBBERVILLE",
"state": "MI",
"postal_code": "488929260",
"telephone_number": "517-521-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "TERESA",
"middle_name": "BARBARA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "4704208979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webberville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.