Bloom Behavioral Health L.L.C.
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · New Orleans, LA
NPI 1699519124 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1699519124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BLOOM BEHAVIORAL HEALTH L.L.C.
- Practice address
- 3014 Dauphine St
New Orleans, LA 70117-6754 - Phone
- (877) 968-0068
- Fax
- (855) 538-3026
- NPI assigned
- Jun 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Cinnamon Davis, PMHNP, FNP-BC
- Title
- Owner
- Phone
- (504) 814-0044
Practitioners 1
-
Cinnamon Renique Davis, APRN, PMHNP, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240924001647 | LA | Part B Supplier - Clinic/Group Practice | 0547701088 |
Receives reassigned benefits from 1 practitioner Practice locations: New Orleans, LA |
National Provider Directory
Locations
3014 Dauphine St
New Orleans, LA 70117
Phone (504) 722-0619
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFFHDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
3014 Dauphine St
New Orleans, LA 70117-6754
Mailing address
3014 Dauphine St
New Orleans, LA 70117-6754
Phone (877) 968-0068
Other providers in New Orleans, LA
- Ashley Blocker Wilbourn
- Alexandria Bloise
- Andrea Blome
- Lawrence Blonde
- Blondies Pantry LLC
- Bloom in Nola, LLC
- Bloom Therapy Group LLC
- Laura Bloom
- Caleb Bloomfield
- Alia Blossomgame
All providers in New Orleans, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.