Organization Active NPI

Bloom Speech Therapy, LLC

  • Speech-Language Pathologist
  • Bristol, TN
National Provider Identifier
1801537741
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOOM SPEECH THERAPY, LLC
Practice address
1750 Holston Dr
Bristol, TN 37620-4544
Phone
(423) 833-2521
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Sara E Turner, M.S. CCC-SLPNPI 1013590223
Title
Speech and Language Pathologist
Phone
(423) 833-2521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1750 Holston Dr
Bristol, TN 37620-4544

Mailing address

1750 Holston Dr
Bristol, TN 37620-4544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1801537741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HOLSTON DR",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HOLSTON DR",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204544",
            "telephone_number": "423-833-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "423-833-2521",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.