Organization Active NPI

Second Bloom Womens Health PLLC

  • Gynecology Physician
  • Minneapolis, MN
National Provider Identifier
1619817244
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
SECOND BLOOM WOMENS HEALTH PLLC
Practice address
1200 W Broadway Ave
Minneapolis, MN 55411-2572
Phone
(612) 382-8862
Fax
(612) 500-4946
NPI assigned
Mar 31, 2026
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Natya Nate Stroud, DNP
Title
Nurse Practitioner
Phone
(612) 382-8862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

1200 W Broadway Ave
Minneapolis, MN 55411-2572

Mailing address

6257 Ben More Dr NE
Fridley, MN 55432-5207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1619817244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 BEN MORE DR NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325207",
            "fax_number": "612-500-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112572",
            "telephone_number": "612-382-8862",
            "fax_number": "612-500-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND BLOOM WOMENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "NATYA",
        "authorized_official_middle_name": "NATE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "612-382-8862",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.