Individual provider Active NPI

Laura Thornton Bloomfield, APRN

  • Adult Health Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1649612847
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
41509 Issued in OK
Practice address
1245 S Utica Ave
2ND Floor West
Tulsa, OK 74104-4214
Phone
(918) 382-2551
Fax
(918) 382-2561
NPI assigned
Jul 29, 2013
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 41509 OK Primary

Addresses

Primary practice location

1245 S Utica Ave
2ND Floor West
Tulsa, OK 74104-4214

Mailing address

1245 S Utica Ave
2ND Floor West
Tulsa, OK 74104-4214
Phone (918) 382-2551

Other identifiers 1

IdentifierTypeStateIssuer
200501720AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017001136 OK Practitioner - Nurse Practitioner 9739313156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Day Center for the Homeless IncGroup PAC ID 2264960939, 2 clinicians

Practice addresses (Care Compare)

415 W Archer St
Tulsa, OK 74103-1807
Phone (918) 556-6412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Day Center for the Homeless Inc CurrentSince Nov 3, 2024 Accepting new patients

Locations

415 W Archer St
Tulsa, OK 74103
Phone (918) 556-6412

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22121/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.bloomfield.1@22121.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1649612847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "address_2": "2ND FLOOR WEST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-382-2551",
            "fax_number": "918-382-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "address_2": "2ND FLOOR WEST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-382-2551",
            "fax_number": "918-382-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "LAURA",
        "middle_name": "THORNTON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "41509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200501720A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.