In Bloom Birth and Wellness PLLC

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

Legal business name

IN BLOOM BIRTH AND WELLNESS PLLC

Practice address

1370 Sarno Rd Ste D
Melbourne, FL 32935-5230

Phone

(321) 354-6911

Fax

(321) 617-5786

NPI assigned

Jun 17, 2022

Last updated

Apr 11, 2024By 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

Linda Gail Legault, CNM, APRNNPI 1740774470

Title

Owner/Provider

Phone

(321) 312-1494

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: admin@inbloombirthandwellness.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Gail Legault, CNM

  • Advanced Practice Midwife
  • Melbourne, FL
  • NPI 1740774470
  NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1649901992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 SIROCO LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347600",
            "telephone_number": "321-312-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 SARNO RD STE D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355230",
            "telephone_number": "321-354-6911",
            "fax_number": "321-617-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BLOOM BIRTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "LEGAULT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "321-312-1494",
        "authorized_official_credential": "CNM, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@inbloombirthandwellness.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Healthcare and PHI  information",
            "address_1": "1370 Sarno Rd Ste D",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329355230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Obstetrics & Gynecology Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.