Active NPI
Blossom Bliss LLC
- Doula
- Woodstock, GA
National Provider Identifier
1457039232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- 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 SUPP
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.