Organization Active NPI

Everbloom Holistic Nursing a Professional Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1427847771
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EVERBLOOM HOLISTIC NURSING A PROFESSIONAL CORPORATION
Practice address
7501 Hospital Dr Ste 360
Sacramento, CA 95823-5405
Phone
(469) 226-3415
NPI assigned
May 3, 2025
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Chinwe AsidanyaNPI 1265263719
Title
Owner
Phone
(469) 226-3415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7501 Hospital Dr Ste 360
Sacramento, CA 95823-5405

Mailing address

7501 Hospital Dr Ste 360
Sacramento, CA 95823-5405
Phone (469) 226-3415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106004189 CA Part B Supplier - Clinic/Group Practice 9335639434 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

8861 Williamson Dr
Ste 40
Elk Grove, CA 95624
Phone (916) 414-9210

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1427847771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR STE 360",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "469-226-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR STE 360",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "469-226-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERBLOOM HOLISTIC NURSING A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "ASIDANYA",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-226-3415"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.