Theresa Marie Bloss, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310840-031 Issued in WI

Practice address

S4875 Cty Rd D
Rock Springs, WI 53961-9714

Phone

(608) 524-8011

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1568749885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S4875 CTY RD D",
            "city": "ROCK SPRINGS",
            "state": "WI",
            "postal_code": "539619714",
            "telephone_number": "608-524-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S4875 CTY RD D",
            "city": "ROCK SPRINGS",
            "state": "WI",
            "postal_code": "539619714",
            "telephone_number": "608-524-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSS",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "310840-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Carroll, LPN
• Chelsey Olson, MA, BCBA, LBA
• Rocket Learning Center LLC
• Arlene M Tobin, CRNA

• Licensed Practical Nurse in Rock Springs, WI
• Providers in Rock Springs, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.