Blossom Chiropractic and Natural Medicine

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

5085 Issued in WI

Legal business name

BLOSSOM CHIROPRACTIC AND NATURAL MEDICINE

Practice address

3601 30TH Ave
Suite 101
Kenosha, WI 53144-1695

Phone

(262) 220-8500

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Olivia Bressy Cashmore, D.C., C.C.NNPI 1710102066

Title

President/Owner

Phone

(262) 220-8500

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivia Bressy Cashmore, DC, CCN

  • Nutrition Chiropractor
  • Kenosha, WI
  • NPI 1710102066
  NPD (past) Authorized official

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1902341548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 115TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427274",
            "telephone_number": "262-220-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 30TH AVE",
            "address_2": "SUITE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441695",
            "telephone_number": "262-220-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CHIROPRACTIC AND NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "CASHMORE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "BRESSY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "262-220-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.N"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038010095",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "5085",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "WI",
            "license": "5085",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IL",
            "license": "038010095",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "5085",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038010095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Blando
• Tracy C Blauser
• Peter David Blochowicz, CRNA
• Joshua A Bloom, MD
• Nicole Bloomquist, OD
• Eunice Boatin
• Robbi Bode
• Hannah Bodnar, DPT
• Kerrie Boeckman
• Karla S. Boho, N.P.

• Nutrition Chiropractor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Nutrition Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.