Santina Bloom
Individual provider Active NPI Licensed Practical Nurse · Bayport, NY
NPI 1861097271 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1861097271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 324150-01 (NY)
- Practice address
- 415 Terrace Rd
Bayport, NY 11705-1526 - Phone
- (631) 525-3234
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324150-01 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 324150-01 | NY | Yes |
Addresses
Primary practice location
415 Terrace Rd
Bayport, NY 11705-1526
Mailing address
415 Terrace Rd
Bayport, NY 11705-1526
Phone (631) 525-3234
Other providers in Bayport, NY
- Bayport-Blue Point Union Free School District
- Jason Robert Behar
- Jonathan E. Belmonte
- Kimberly Benson
- Kathleen Siobhan Bleakney-Hanlon
- Matthew Botros
- Adrian Fields Boyer
- Jessica Brooks
- Alexandra Elizabeth Brown
- Nicholas Anthony Califano
All providers in Bayport, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.