Organization Active NPI

Blossom Bliss LLC

  • Doula
  • Woodstock, GA
National Provider Identifier
1457039232
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
BLOSSOM BLISS LLC
Practice address
111 Driftwood LN
Woodstock, GA 30188-4280
Phone
(770) 906-7275
NPI assigned
Jul 10, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Maria I Flores-Nieto, DOULA LACTATION SUPPNPI 1336804509
Title
Doula
Phone
(770) 906-7275

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

111 Driftwood LN
Woodstock, GA 30188-4280

Mailing address

111 Driftwood LN
Woodstock, GA 30188-4280
Phone (770) 906-7275

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2023.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1457039232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DRIFTWOOD LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884280",
            "telephone_number": "770-906-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DRIFTWOOD LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884280",
            "telephone_number": "770-906-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM BLISS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "FLORES-NIETO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "770-906-7275",
        "authorized_official_credential": "DOULA LACTATION SUPP"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.