Bloom Bilingual Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM BILINGUAL SPEECH THERAPY

Practice address

1201 Evans Ave Ste 100
Fort Worth, TX 76104-5179

Phone

(682) 207-1612

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Diana Serrano, M.S. CCC-SLPNPI 1972876753

Title

Speech Language Pathologist- Owner

Phone

(817) 627-8471

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Diana Serrano

  • Speech-Language Pathologist
  • Fort Worth, TX
  • NPI 1972876753
  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1598587297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EVANS AVE STE 100 BOX NUMBER 12A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045179",
            "telephone_number": "682-207-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EVANS AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045179",
            "telephone_number": "682-207-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BILINGUAL SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST- OWNER",
        "authorized_official_telephone_number": "817-627-8471",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Lorraine Blocker, OTR, CLT
• Mette Jane Adams Blockhan, O.T.
• Duffy Bloemendal, OTR
• Lee Charles Bloemendal, MD
• Lee Scott Bloemendal, MD
• Bloom Harbor Collective, PLLC
• Amber Dawn Bloom, LPC-S
• Tyler Lee Bloomer, M.D.
• Becky Bloomfield, PT
• Elizabeth M Bloomfield, PA

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.