Active NPI
In Bloom Healthcare Associates
- Advanced Practice Midwife
- Galveston, TX
National Provider Identifier
1891223392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 119382
- Legal business name
- IN BLOOM HEALTHCARE ASSOCIATES
- Practice address
- 712 10TH St
Galveston, TX 77550-5116 - Phone
- (409) 768-0005
- Fax
- (281) 892-1090
- NPI assigned
- May 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaymee Boughton
- Title
- Advanced Practice Midwife
- Phone
- (281) 389-0810
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113162 | TX | |
| Advanced Practice Midwife | 367A00000X | 119382 | TX | Primary |
| Advanced Practice Midwife | 367A00000X | 99119 | TX |
Addresses
Primary practice location
712 10TH St
Galveston, TX 77550-5116
Mailing address
3704 Trent Cove LN
Pearland, TX 77584-1479
Phone (281) 389-0810
Other practice location 1
300 E Edgewood Dr
Friendswood, TX 77546-3823
Phone (281) 389-0810
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Pearland, TX
- NPI 1922318914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1891223392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 TRENT COVE LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841479",
"telephone_number": "281-389-0810",
"fax_number": "281-892-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 10TH ST",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775505116",
"telephone_number": "409-768-0005",
"fax_number": "281-892-1090"
}
],
"practiceLocations": [
{
"address_1": "300 E Edgewood Dr",
"address_purpose": "LOCATION",
"city": "Friendswood",
"state": "TX",
"postal_code": "775463823",
"country_code": "US",
"telephone_number": "281-389-0810",
"fax_number": "281-892-1090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IN BLOOM HEALTHCARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-27",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BOUGHTON",
"authorized_official_first_name": "JAYMEE",
"authorized_official_title_or_position": "ADVANCED PRACTICE MIDWIFE",
"authorized_official_telephone_number": "281-389-0810"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "113162",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "119382",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "99119",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.