Bloom Medical and Aesthetics

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BLOOM MEDICAL AND AESTHETICS

Practice address

8340 Sangre de Cristo Rd Ste 202
Littleton, CO 80127-4252

Phone

(970) 424-9793

NPI assigned

Jul 8, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnie Lynn BlumNPI 1508103086

Title

Owner

Phone

(970) 424-9739

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnie Lynn Blum, FNP

  • Family Nurse Practitioner
  • Littleton, CO
  • NPI 1508103086
  NPD Authorized official

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1730812538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD STE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD STE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274252",
            "telephone_number": "970-424-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MEDICAL AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "JOHNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-424-9739"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Blayney, MD
• Jessica Lynn Blechschmidt
• Alexandra Grace Blessing
• Krista A.W. Blew, PA-C
• Breanna Blewett
• Bloom Mental Health
• Sara Bloom, LPC
• Steven Carlyle Bloom
• Blooming Possibilities
• Blue Horizon Therapy, LLC

• Nurse Practitioner in Littleton, CO
• Providers in Littleton, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.