Bloommed, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLOOMMED, LLC

Practice address

8951 Collin McKinney Pkwy Ste 502
McKinney, TX 75070-8482

Phone

(972) 214-8579

Fax

(972) 947-5284

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Cudjoe, MDNPI 1265624571

Title

Owner

Phone

(972) 214-8579

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17090/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Lee-Blanche Cudjoe, M.D.

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1265624571
  NPD Authorized official
• Alicia Bonds, FNP-C

  • Family Nurse Practitioner
  • McKinney, TX
  • NPI 1467386474
  NPD (past)

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1366133290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 COLLIN MCKINNEY PKWY STE 502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708482",
            "telephone_number": "972-214-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 COLLIN MCKINNEY PKWY STE 502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708482",
            "telephone_number": "972-214-8579",
            "fax_number": "972-947-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "CUDJOE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-214-8579",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicolle Ginsberg Block, M.D.
• Jane Everett Blount, OTR
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• Ashley Brooke Boatman, LCSW
• Richard Martin Boatman, MD

• Family Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.