Carrie Joanne Bloomer, RN

Individual provider Active NPI School Registered Nurse · Rio Rancho, NM

NPI 1356892228 · NPPES record last updated Oct 17, 2016

Key facts

NPI
1356892228
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN-80548 (NM)
Practice address
500 Laser Rd NE
Rio Rancho, NM 87124-4517
Phone
(505) 896-0667
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-80548NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Rancho Public Schools Past Accepting new patients
Rio Rancho Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN-80548 NM Yes

Addresses

Primary practice location

500 Laser Rd NE
Rio Rancho, NM 87124-4517

Mailing address

500 Laser Rd NE
Rio Rancho, NM 87124-4517
Phone (505) 896-0667

Other providers in Rio Rancho, NM

All providers in Rio Rancho, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.