Organization Active NPI

In Bloom Healthcare Associates

  • Advanced Practice Midwife
  • Galveston, TX
National Provider Identifier
1891223392
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
119382 Issued in TX
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

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jaymee BoughtonNPI 1922318914
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 113162 TX
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X 119382 TX Primary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.