Imara Blume, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11021261 Issued in FL

Practice address

346 Freeman St Unit 210
Longwood, FL 32750-4171

Phone

(689) 290-6776

Fax

(689) 209-1779

NPI assigned

Oct 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1760107304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 FREEMAN ST STE 210",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504171",
            "telephone_number": "689-290-6776",
            "fax_number": "689-209-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 FREEMAN ST UNIT 210",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504171",
            "telephone_number": "689-290-6776",
            "fax_number": "689-209-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "IMARA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11021261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Paul Blanchard, MA, LMHC, NCC
• Kathleen E Blaney, A.R.N.P.
• Wesley Peter Blitchington, PH.D.
• Blue Path ABA
• Elouise Blue
• BMS Stratigic Business Solutions
• Juliana Kate Boardman, BS
• Sue S Boardman
• Melissa Kaye Bobbitt, OTR
• Stan Bogard, LMFT

• Psychiatric/Mental Health Nurse Practitioner in Longwood, FL
• Providers in Longwood, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.