NPIMap

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
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

Primary practice location

111 Driftwood LN
Woodstock, GA 30188-4280

Mailing address

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

National Provider Directory

National Provider Directory

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": "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.