Active NPI
Joanna L Bloomer, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Greenup, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3007891
- Practice address
- 57 Dora LN
Greenup, KY 41144-1187 - Phone
- (866) 233-1955
- NPI assigned
- Mar 13, 2013
- Last updated
- Feb 24, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007981 | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | 3007981 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3007891 | KY | Primary |
Addresses
Primary practice location
57 Dora LN
Greenup, KY 41144-1187
Mailing address
3701 Landsdowne Dr
Ashland, KY 41102-5422
Phone (606) 324-3005
Other practice location 1
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 212-4468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3701 Landsdowne Dr
Ashland, KY 41102-5422
Phone (606) 329-8588
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007891 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways, Inc | Multi-Specialty | Current | Accepting new patients |
| Pathways Inc | Multi-Specialty | Current | Accepting new patients |
Locations
3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005
840 Interstate Dr
Grayson, KY 41143
Phone (606) 474-5151
57 Dora Ln
Greenup, KY 41144
Phone (606) 473-7333
Interoperability endpoints
- jbloomer241483@direct-prd.stelizabeth.com
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1982615043
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1609260199
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1407197635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LANDSDOWNE DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411025422",
"telephone_number": "606-324-3005",
"fax_number": "606-329-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 DORA LN",
"city": "GREENUP",
"state": "KY",
"postal_code": "411441187",
"telephone_number": "866-233-1955"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Village Dr",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410173403",
"country_code": "US",
"telephone_number": "859-212-4468",
"fax_number": "859-212-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOMER",
"first_name": "JOANNA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-13",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3007981",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3007981",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3007891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenup, KY
- Bellefonte Physician Services, Inc. (Bellefonte Primary Care, Greenup)
- Emma Berger
- Laurissa Bester
- Secilee Ann Bias, RN
- Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Greenup)
- Sarah Bowling-Cameron
- Theresa Bradley, RN
- Lisa Renee Brown
- Brittani Bryant, M.ED., LPCC
- Staci Burns, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.