Bloomed

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOMED

Practice address

336 W 44TH St
Indianapolis, IN 46208-3734

Phone

(206) 914-9219

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Lefebre

Title

Executive Director

Phone

(206) 914-9219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1831640234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W 44TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462083734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W 44TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462083734",
            "telephone_number": "206-914-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "LEFEBRE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-914-9219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Dental - Geist, LLC
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• Edward J Bloom, DPT
• Lisa F Bloom, NNP
• Ronald Bloom, MD
• Ainsley Katherine Bloomer, MD
• Bloomfield Senior Living of Glen, LLC
• Bloomfield Senior Living of Park, LLC
• Alec James Bloomfield, PHARMD
• Devin Bloomfield, RBT

• Behavior Analyst in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.