Bloom Ink Collective, LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

BLOOM INK COLLECTIVE, LLC

Practice address

106 L St Ste 1
Sacramento, CA 95814-3227

Phone

(662) 402-2076

NPI assigned

Oct 24, 2024

Last updated

Oct 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley FlowersNPI 1306604350

Title

Medical Tattoo Artist/Owner

Phone

(662) 402-2076

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Flowers

  • Other Specialist/Technologist
  • Sacramento, CA
  • NPI 1306604350

  Multi-Specialty

  NPD Authorized official
• Warlita Green

  • Other Specialist/Technologist
  • Sacramento, CA
  • NPI 1184482168

  Specialist/Technologist, Other

  NPD

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1275354920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 BRAEBURN ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214039",
            "telephone_number": "662-402-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 L ST STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143227",
            "telephone_number": "662-402-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM INK COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MEDICAL TATTOO ARTIST/OWNER",
        "authorized_official_telephone_number": "662-402-2076"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Douglas Blom
• Thad Blondefield
• Stanley Kuhio Blondek, PSY.D., LAADC
• Bloom and Bee LLC
• Bloom Care Network, Inc.
• Andrew Jason Bloom, PA-C
• Evan D. Bloom, MD
• Shelley Erline Bloom, APRN, FNP-C
• Stewart Richard Bloom, M.S.W.
• Blooming With Iyanna (Nouvelle Healing)

• Other Specialist/Technologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.