Active NPI
Bailey Curtlan Bloomer
- Student in an Organized Health Care Education/Training Program
- Abingdon, VA
National Provider Identifier
1508612359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 16000 Johnston Memorial Dr
Abingdon, VA 24211-7664 - Phone
- (276) 258-1000
- Fax
- (276) 258-4445
- NPI assigned
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Mailing address
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241118000552 | VA | Order and Referring Only - Internal Medicine | 3375077019 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Health System | Current | Accepting new patients |
Interoperability endpoints
- bhelbert297610@balladhealth.medalliesdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1508612359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-258-1000",
"fax_number": "276-258-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-258-1000",
"fax_number": "276-258-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMER",
"first_name": "BAILEY",
"middle_name": "CURTLAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.