Organization Active NPI

Blossomwood Research LLC

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1669994331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BLOSSOMWOOD RESEARCH LLC
Practice address
2121 Whitesburg Dr SE Ste D
Huntsville, AL 35801-4501
Phone
(256) 883-0107
Fax
(256) 883-0207
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Dzene Juceviciute
Title
President
Phone
(256) 431-9254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2121 Whitesburg Dr SE Ste D
Huntsville, AL 35801-4501

Mailing address

2121 Whitesburg Dr SE Ste D
Huntsville, AL 35801-4501
Phone (256) 883-0107

Other practice location 1

180 Old Highway 431 Ste C
Owens Cross Roads, AL 35763-9274
Phone (256) 585-3961

National Provider Directory

National Provider Directory

Locations

2121 Whitesburg Dr SE
Ste D
Huntsville, AL 35801
Phone (256) 883-0107

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669994331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WHITESBURG DR SE STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014501",
            "telephone_number": "256-883-0107",
            "fax_number": "256-883-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WHITESBURG DR SE STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014501",
            "telephone_number": "256-883-0107",
            "fax_number": "256-883-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Old Highway 431 Ste C",
            "address_purpose": "LOCATION",
            "city": "Owens Cross Roads",
            "state": "AL",
            "postal_code": "357639274",
            "country_code": "US",
            "telephone_number": "256-585-3961",
            "fax_number": "256-585-3971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOSSOMWOOD RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JUCEVICIUTE",
        "authorized_official_first_name": "DZENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-431-9254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.