Jaimee Bloom, CPE, LE

Primary specialty

SpecialistTaxonomy code 174400000X

License

BAP-E-10152387 Issued in OR

Practice address

1017 SW Morrison St Ste 400
Portland, OR 97205-2629

Phone

(503) 224-3300

NPI assigned

Dec 23, 2015

Last updated

Dec 31, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Portland Electrolysis and Skin Care

  • Specialist
  • Portland, OR
  • NPI 1598394280
  NPD Authorized official

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1386009959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052629",
            "telephone_number": "503-224-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052629",
            "telephone_number": "503-224-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JAIMEE",
        "credential": "CPE, LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "BAP-E-10152387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386009959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Bloom
• Ava Bloom, MS
• Christine Marie Bloom, NP
• Elisabeth Bloom, PSY.D.
• Erin Danielle Bloom, DC
• Joseph David Bloom, M.D.
• Julie Bloom
• Linnaeus Bloom
• Maggie Bloom, PH.D.
• Hannah Lynn Bloombaum

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.