Bloom Well LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLOOM WELL LLC

Practice address

3256 S Fremont Ave Ste 10
Springfield, MO 65804-4212

Phone

(417) 344-1544

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Abigail Emery, DC

Title

Member

Phone

(636) 634-5456

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1649981358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E WHETSTONE DR",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218578",
            "telephone_number": "636-634-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 S FREMONT AVE STE 10",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044212",
            "telephone_number": "417-344-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "636-634-5456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952757353",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa J Blevins
• Maryann B Blevins, NP
• Paul D Blisard, ED.D., L.P.C.
• Jenetta D Bliss, CRNA
• Michael P Bliss, CRNA
• Alida M. Bloom, RN, CS, FNP
• Priscilla Bloom, RD, LD
• Grace Bluestone, LMT
• Melissa Blumer, LCSW
• Jeffrey Bluml, DPT

• Chiropractor in Springfield, MO
• Providers in Springfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.