Organization Active NPI

Serenitude Bloom, LLC

  • Doula
  • Grand Island, FL
National Provider Identifier
1710874102
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
SERENITUDE BLOOM, LLC
Practice address
37118 Scenic Ridge Dr
Grand Island, FL 32735-8960
Phone
(352) 396-7822
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Ruth Wallace-WilliamsNPI 1528809977
Title
Owner
Phone
(352) 396-7822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

37118 Scenic Ridge Dr
Grand Island, FL 32735-8960

Mailing address

37118 Scenic Ridge Dr
Grand Island, FL 32735-8960
Phone (352) 396-7822

National Provider Directory

National Provider Directory

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": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1710874102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37118 SCENIC RIDGE DR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327358960",
            "telephone_number": "352-396-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37118 SCENIC RIDGE DR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327358960",
            "telephone_number": "352-396-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITUDE BLOOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE-WILLIAMS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-396-7822"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.