Bloom for Women LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

BLOOM FOR WOMEN LLC

Practice address

199 N 290 W Ste 150
Lindon, UT 84042-5004

Phone

(503) 858-7832

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Walter Eric Red

Title

Manager

Phone

(503) 858-7832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1891530960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N 290 W STE 150",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840425004",
            "telephone_number": "503-858-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N 290 W STE 150",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840425004",
            "telephone_number": "503-858-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM FOR WOMEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "RED",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-858-7832"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Becar
• Lauren Bell
• Rachel Biehl
• Erick Roland Bingham, D.C.
• Richard Bishop
• Tracy Lynn Brady, FNP-C
• Randy Charles Braithwaite, D.D.S.
• Daniel Brennan, CSW
• Kami Brimhall
• Brookhaven Counseling

• Health & Wellness Coach in Lindon, UT
• Providers in Lindon, UT by specialty
• Health & Wellness Coach in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.