Active NPI
Renee Bloom
- Behavior Technician
- San Marcos, TX
National Provider Identifier
1780318907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-219984
- Practice address
- 101 Uhland Rd Ste 204
San Marcos, TX 78666-6681 - Phone
- (512) 396-0872
- NPI assigned
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-219984 | ||
| Behavior Technician | 106S00000X | RBT-22-219984 | TX | Primary |
Addresses
Primary practice location
101 Uhland Rd Ste 204
San Marcos, TX 78666-6681
Mailing address
101 Uhland Rd Ste 204
San Marcos, TX 78666-6681
Phone (512) 396-0872
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-219984 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1780318907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 UHLAND RD STE 204",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666681",
"telephone_number": "512-396-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 UHLAND RD STE 204",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666681",
"telephone_number": "512-396-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-22-219984",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-22-219984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.