Kara Bloomingdale, MSN, PMHCNS-BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN2259056 Issued in MA

Practice address

269 Union St
Lynn, MA 01901-1314

Phone

(781) 477-7222

Fax

(781) 598-8137

NPI assigned

Sep 3, 2009

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Services of the Merrimack Valley, Inc.Group PAC ID 5395756126, 5 clinicians

Professional Counseling Services IncGroup PAC ID 3870487333, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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 and National Provider Directory roles.

• Family Services of the Merrimack Valley, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, MA
  • NPI 1679680615
  Medicare reassignment Care Compare group NPD
• Professional Counseling Services Inc

  • Neurology Physician
  • Acton, MA
  • NPI 1477617306
  Medicare reassignment Care Compare group NPD
• Blueskies Wellness, Inc.

  • Community/Behavioral Health Agency
  • Methuen, MA
  • NPI 1861778003
  Medicare reassignment

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1376776526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011314",
            "telephone_number": "781-477-7222",
            "fax_number": "781-598-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011314",
            "telephone_number": "781-477-7222",
            "fax_number": "781-598-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMINGDALE",
        "first_name": "KARA",
        "credential": "MSN, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2259056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obed Blaise
• Amy Blanaru
• Lauryn Blandford, M.S.
• Dean Alan Blass, M.D.
• Lawrence S Block, MD
• Melanie C Blount, PSY.D
• Blue Star Ventures LLC.
• Zachary Kalman Blumkin, PSYD
• Jordan Bodwell, LMHC
• Ian Joseph Boehm Jr., DC

• Psychiatric/Mental Health Registered Nurse in Lynn, MA
• Providers in Lynn, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.