Penny Ann Bloom, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

674239 Issued in NY

Practice address

188 Clearwater Cir
Rochester, NY 14612-3081

Phone

(585) 259-5001

NPI assigned

Nov 12, 2018

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1487122180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 CLEARWATER CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123081",
            "telephone_number": "585-259-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 CLEARWATER CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123081",
            "telephone_number": "585-259-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "PENNY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "674239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Blonsky, DC
• Nathaniel Blood, LMSW
• Bloom & Rest Nursing Services
• Jonathan Bloom, M.D.
• Paige Catherine Worden Bloom, NP
• Molly Bloomenthal
• Blossom Health Care Center, Inc.
• Blossom North
• Blossom North, LLC
• Blossom Road Medicine, PLLC

• Community Health Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.