Organization Active NPI

Bloom Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1568288652
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLOOM MENTAL HEALTH AND WELLNESS
Practice address
2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054
Phone
(605) 864-9818
NPI assigned
Nov 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Authorized official

Name
Briana PowellNPI 1023654845
Title
Ceo
Phone
(605) 864-9818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054

Mailing address

5800 S Bounty PL
Sioux Falls, SD 57108-5179
Phone (605) 864-9818

Other names 1

  • Bloom Mental Health and Wellness PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1568288652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 S BOUNTY PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085179",
            "telephone_number": "605-864-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W 57TH ST STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085054",
            "telephone_number": "605-864-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-864-9818"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Mental Health and Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.