Laura Lee Bloom, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

61015964 Issued in WA

Practice address

1404 NE 134TH St Ste 180C
Vancouver, WA 98685-2799

Phone

(360) 450-5778

Fax

(833) 992-2065

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22448/brand/1/csg/1/fhir/r4

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.

• Ab Naturopath LLC

  • Naturopath
  • Kelso, WA
  • NPI 1336862945
  NPD Authorized official
• Haven Health & Wellness LLC

  dba Haven Health & Wellness

  • Adult Mental Health Clinic/Center
  • Vancouver, WA
  • NPI 1821690363
  NPD
• Annette Hobi NMD

  • Naturopath
  • Phoenix, AZ
  • NPI 1972973303
  NPD (past)
• The Source Naturopathic Medical Clinic

  • Health Service Clinic/Center
  • Phoenix, AZ
  • NPI 1174905038
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1356859466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 NE 142ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986824213",
            "telephone_number": "602-501-5491",
            "fax_number": "833-992-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST STE 180C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-450-5778",
            "fax_number": "833-992-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "17-1681",
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "OR",
            "license": "4397",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "61015964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Blondeau-Heglin
• Christopher Blonk, DC, ATC
• Ashley K Bloodworth, BCBA
• Bloom Psychiatric, LLC
• David Charles Bloom, MD
• Mindy E Bloom
• Sarah Dalton Bloom, ARNP
• Tammy Lee Bloom, M.D.
• Blossoming Growth, PLLC
• Nathanielle Louise Blouin, PHARMD

• Naturopath in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.