Molly Bloom, STUDENT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2325483 Issued in MA

Practice address

140 Commonwealth Ave
Chestnut Hill, MA 02467-3858

Phone

(617) 552-2756

NPI assigned

Jan 17, 2025

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1467263517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673858",
            "telephone_number": "617-552-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673858",
            "telephone_number": "617-552-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MOLLY",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2325483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin E. Bierbaum, M.D.
• Brian Zane Bilchik, MD
• Stephanie Coldwell Bird, MD
• Cherie Cahillane Bishop, DMD
• Tracy L. Blair, M.S, CCC-A
• Kristo Bolano, OD
• Emily Borland, APRN
• Joanne Pansa Bosch, PT
• Claire Boskin, MSW
• Boston Body Evolution LLC

• Registered Nurse in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.