Cynthia Stephens Bloom, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

222935 Issued in NC

Practice address

8500 Andrew Carnegie Blvd
Mail Stop D101 Living Well, Health and Wellness Center
Charlotte, NC 28262-8500

Phone

(704) 988-2572

Fax

(704) 988-4820

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1528083623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WOODHURST DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108545",
            "telephone_number": "704-988-2572",
            "fax_number": "704-988-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 ANDREW CARNEGIE BLVD",
            "address_2": "MAIL STOP D101 LIVING WELL, HEALTH AND WELLNESS CENTER",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628500",
            "telephone_number": "704-988-2572",
            "fax_number": "704-988-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "CYNTHIA",
        "middle_name": "STEPHENS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "222935",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1662822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi L Blocton, MS, RD, LDN
• Briana Bloembergen, C.N.M.
• Nicole Blohm
• Leotis Bloodworth, PHARM.D
• Bloom at Home Healthcare, PLLC
• Danielle Bloom
• Molly C Bloomer, LCMHCA
• Blake Bloomfield, PA-C
• Blooming Heart Home Care, LLC
• Blooming Hearts Behavioral Health and Child Development

• Adult Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.

Verify at the official NPI Registry.