Active NPI
Serenitude Bloom, LLC
- Doula
- Grand Island, FL
National Provider Identifier
1710874102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth Wallace-Williams
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Grand Island, FL
- NPI 1528809977
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.