Blossom Ostomy Inc

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

BLOSSOM OSTOMY INC

Practice address

13488 Maxella Ave Apt 626
Marina del Rey, CA 90292-4304

Phone

(617) 224-2698

NPI assigned

Aug 2, 2025

Last updated

Aug 2, 2025By 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

Nina HayesNPI 1285518365

Title

Founder

Phone

(617) 224-2698

Specialties & licenses 3

Addresses

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.

• Nina Hayes

  • Health & Wellness Coach
  • Marina del Rey, CA
  • NPI 1285518365
  NPD Authorized official

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754092800000",
    "number": "1437033511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13488 MAXELLA AVE APT 626",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924304",
            "telephone_number": "617-224-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13488 MAXELLA AVE APT 626",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924304",
            "telephone_number": "617-224-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM OSTOMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "617-224-2698"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ioannis Bitsis, DDS
• Thomas Edward Blair, M.D.
• Lisa Blake, RHN
• Bliss Optometry a Professional Corporation
• Steven Mark Block, D.P.M.
• Blue Ocean Mental Health
• Gideon Blumstein, MD, MS
• Jordan Lynn Bobbitt, LCSW
• Brian Antony Boben, MD
• Shannon Bonness, M.D.

• Health & Wellness Coach in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; 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.