Bloom Wellness Center, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1057 Issued in NM

Legal business name

BLOOM WELLNESS CENTER, LLC

Practice address

9798 Coors Blvd NW
BLDG C Suite 101
Albuquerque, NM 87114-6131

Phone

(505) 639-5147

Fax

(505) 639-4153

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Jones, DOM

Title

President/Owner

Phone

(505) 400-1520

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1497124705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9798 COORS BLVD NW",
            "address_2": "BLDG C SUITE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9798 COORS BLVD NW",
            "address_2": "BLDG C SUITE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146131",
            "telephone_number": "505-639-5147",
            "fax_number": "505-639-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-400-1520",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1057",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna L Blom, LMHC
• Robyn Blomberg, RN
• Nicholas Louis Blonski, PT
• Bloom Bilingual Therapy LLC
• Bloom Trauma Therapy LLC
• Leesa Robin Bloom
• Ricki Bloom, LMSW-P
• Bloome Healing LLC
• Jessica L Bloome, MA, LPCC
• Jason Corey Bloomer, MSN, RN, CCRN, FANAI

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.