Bloom & Be Therapy and Educational Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM & BE THERAPY AND EDUCATIONAL SERVICES

Practice address

108 S Walnut St Ste P218
Muncie, IN 47305-2847

Phone

(765) 273-3279

Fax

(833) 409-2179

NPI assigned

Aug 10, 2021

Last updated

Aug 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Annemarie Nichols, MA, CCC-SLPNPI 1770909186

Title

Owner/SLP

Phone

(765) 273-3279

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annemarie Nichols, MA, CCC-SLP

  • Speech-Language Pathologist
  • Anderson, IN
  • NPI 1770909186
  NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1386319648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080963",
            "telephone_number": "765-273-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S WALNUT ST STE P218",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473052847",
            "telephone_number": "765-273-3279",
            "fax_number": "833-409-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & BE THERAPY AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "765-273-3279",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Blann
• Joshua Alexander Blanton
• Arianna Bledsoe, RBT
• Rylan Shayne Blessinger
• Aubree Block
• Bloom Dental - Muncie LLC
• Chase Edward Bly, PA
• Meredith Boatwright, LMHC
• Michele Janine Boberg, PH.D.
• Praveen Kumar Boddu, MD

• Speech-Language Pathologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.