Joan Bloome, MSCCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005168 Issued in IL

Practice address

St John'S Hospital Pedi Rehab
800 E. Carpenter
Springfield, IL 62769-0001

Phone

(217) 544-6464

Fax

(217) 757-6545

NPI assigned

Dec 21, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1407030745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST JOHN'S HOSPITAL PEDI REHAB",
            "address_2": "800 E. CARPENTER",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-544-6464",
            "fax_number": "217-757-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST JOHN'S HOSPITAL PEDI REHAB",
            "address_2": "800 E. CARPENTER",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-544-6464",
            "fax_number": "217-757-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOME",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MSCCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Blomberg, O.D.
• Carmen Blomquist, APRN
• Ellen R Blood, P.A.
• Andrea Nicole Bloodworth, APN, BSN, RN
• Bloom Counseling and Associates
• Jackson Blough
• Victoria L Blount, CCC-A
• Blue Mind Counseling PLLC
• Debra Louise Blumthal, NCC, LCPC
• Robert James Blumthal, O.D.

• Speech-Language Pathologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.