Organization Active NPI

Bloom Health and Wellness, PLLC

  • Family Nurse Practitioner
  • North Little Rock, AR
National Provider Identifier
1518875095
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BLOOM HEALTH AND WELLNESS, PLLC
Practice address
4137 John F Kennedy Blvd Ste B
North Little Rock, AR 72116-8230
Phone
(501) 909-5919
NPI assigned
Aug 27, 2026
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Daun Leahan Ray, FNP-CNPI 1609738517
Title
Owner
Phone
(501) 909-5919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4137 John F Kennedy Blvd Ste B
North Little Rock, AR 72116-8230

Mailing address

4137 John F Kennedy Blvd Ste B
North Little Rock, AR 72116-8230

National Provider Directory

National Provider Directory

Locations

4137 John F Kennedy Blvd
Ste B
North Little Rock, AR 72116

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": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1518875095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 JOHN F KENNEDY BLVD STE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 JOHN F KENNEDY BLVD STE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168230",
            "telephone_number": "501-909-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DAUN",
        "authorized_official_middle_name": "LEAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-909-5919",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.