Bloom Pediatric Speech LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM PEDIATRIC SPEECH LLC

Practice address

2000 NW 150TH St
Oklahoma City, OK 73134-2004

Phone

(918) 527-5360

NPI assigned

Jul 20, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Kasey Lynn Wickberg, M.S. CCC-SLP

Title

Speech Language Pathologist

Phone

(918) 527-5360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1275453292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14820 MARBLELEAF DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131468",
            "telephone_number": "918-527-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 150TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342004",
            "telephone_number": "918-527-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14820 Marbleleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131468",
            "country_code": "US",
            "telephone_number": "918-527-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM PEDIATRIC SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "WICKBERG",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "918-527-5360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Blittschau
• Ingrid Laub Block, RN, MS, CNS
• James Patrick Block Jr., MD
• Karen Blodgett
• Bloom Mental Health and Wellness Clinic
• Paula Jean Bloom, RN IBCLC RLC
• Kristian Chase Bloomer
• Rebecca Bloomgarden, LCSW
• Blossom ABA Therapy Ok LLC
• Joseph Arden Blough, M.D.

• Speech-Language Pathologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.