Bloom Lactation of Tyler, LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

BLOOM LACTATION OF TYLER, LLC

Practice address

1217 Wilma St
Tyler, TX 75701-5644

Phone

(903) 805-0233

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Taylor Conkel, BSN, RNC-MNN, IBCLCNPI 1811685209

Title

Lactation Consultant

Phone

(903) 805-0233

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Conkel, BSN, RNC-MNN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Tyler, TX
  • NPI 1811685209
  NPD Authorized official

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1740978121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WILMA ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015644",
            "telephone_number": "903-805-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WILMA ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015644",
            "telephone_number": "903-805-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM LACTATION OF TYLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "CONKEL",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "903-805-0233",
        "authorized_official_credential": "BSN, RNC-MNN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Joelle Blixt, PAC
• Teddy Blodgett
• Blood and Cancer Center of East Texas PA
• Jamon Blood, DO
• Larry Mike Bloodsworth, DDS
• Joann Kay Blosser, RN
• Blu Dental Group PC
• Blue Star Research
• Bluebonnet Hospice of East Texas, Inc.
• Alma Bluesummers, LCDC

• Lactation Consultant (Registered Nurse) in Tyler, TX
• Providers in Tyler, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.