Individual provider Active NPI

Jennifer Blum, CRT

  • Registered Respiratory Therapist
  • Saint Cloud, MN
National Provider Identifier
1386161834
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
3044 Issued in MN
Practice address
48 29TH Ave N
Saint Cloud, MN 56303-4589
Phone
(320) 492-6952
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 227900000X 3044 MN Primary

Addresses

Primary practice location

48 29TH Ave N
Saint Cloud, MN 56303-4589

Mailing address

48 29TH Ave N
Saint Cloud, MN 56303-4589
Phone (320) 492-6952

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3044MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Sleep Health LLC Single Specialty Current Accepting new patients

Locations

48 29th Ave N
Saint Cloud, MN 56303
Phone (320) 240-0300

3290 42nd Ave S
Saint Cloud, MN 56301
Phone (320) 227-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16680/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386161834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 29TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034589",
            "telephone_number": "320-492-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 29TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034589",
            "telephone_number": "320-492-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "JENNIFER",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "MN",
            "license": "3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.