Active NPI
Jennifer Blum, CRT
- Registered Respiratory Therapist
- Saint Cloud, MN
National Provider Identifier
1386161834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 3044
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3044 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Registered Respiratory Therapist
- Saint Cloud, MN
- NPI 1710404272
Single Specialty
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.