Blossom Primary Care Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLOSSOM PRIMARY CARE SERVICES LLC

Practice address

3849 Pennsylvania Ave SE
Washington, DC 20020-1309

Phone

(240) 645-7616

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By 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

Odelle Tsaya Kamani, PMHNP

Title

Owner

Phone

(240) 645-7616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1568375822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12113 SAND WEDGE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727973",
            "telephone_number": "240-645-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200201309",
            "telephone_number": "240-645-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM PRIMARY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "KAMANI",
        "authorized_official_first_name": "ODELLE",
        "authorized_official_middle_name": "TSAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-645-7616",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa J Bloomer, M.A., CCC-SLP
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• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.