Carolyn Bloomburg, MS, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7152000797 Issued in MI

Practice address

1424 S Main St Ste 2
Adrian, MI 49221-4309

Phone

(517) 312-1711

NPI assigned

Dec 26, 2023

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Michigan, LLC

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  • NPI 1104337120

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1316716814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S WINTER ST APT E21",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218760",
            "telephone_number": "906-284-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S MAIN ST STE 2",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214309",
            "telephone_number": "517-312-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMBURG",
        "first_name": "CAROLYN",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Blackerby, D.P.M.
• Celeste Blackmore
• Tera C Blanchard, LMT
• BLC Adrian-GC, LLC (Brookdale Adrian)
• Vanessa May Bloom
• Ashley Boehlke, LSW
• Kaitlyn Boehmer
• Dayne Matthew Bohn
• Bone & Joint Medical Center, PC
• Kristina Boote, DPT

• Speech-Language Pathologist in Adrian, MI
• Providers in Adrian, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.