Individual provider Active NPI

Karen Shatkin Bloomfield, M.S., R.N., C.N.S.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Charlottesville, VA
National Provider Identifier
1730412214
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
0015000235 Issued in VA
Practice address
1877 Pine Cone Cir
Charlottesville, VA 22901-8932
Phone
(434) 825-0974
Fax
(434) 924-4576
NPI assigned
Sep 15, 2009
Last updated
Sep 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 0015000235 VA Primary

Addresses

Primary practice location

1877 Pine Cone Cir
Charlottesville, VA 22901-8932

Mailing address

1877 Pine Cone Cir
Charlottesville, VA 22901-8932
Phone (434) 825-0974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0015000235VAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1730412214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 PINE CONE CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018932",
            "telephone_number": "434-825-0974",
            "fax_number": "434-924-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 PINE CONE CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018932",
            "telephone_number": "434-825-0974",
            "fax_number": "434-924-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "KAREN",
        "middle_name": "SHATKIN",
        "credential": "M.S., R.N., C.N.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015000235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.