Individual provider Active NPI

Kathaleen C Bloom, CNM

  • Advanced Practice Midwife
  • Jacksonville, FL
National Provider Identifier
1922196161
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP513832 Issued in FL
Practice address
41 E Duval St
Volunteers in Medicine
Jacksonville, FL 32202-3201
Phone
(904) 399-2766
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP513832 FL Primary

Addresses

Primary practice location

41 E Duval St
Volunteers in Medicine
Jacksonville, FL 32202-3201

Mailing address

41 E Duval St
Volunteers in Medicine
Jacksonville, FL 32202-3201
Phone (904) 399-2766

Other identifiers 1

IdentifierTypeStateIssuer
305057200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP513832FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers in Medicine Jacksonville, Inc PastSince Feb 1, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIGGAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1922196161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E DUVAL ST",
            "address_2": "VOLUNTEERS IN MEDICINE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023201",
            "telephone_number": "904-399-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E DUVAL ST",
            "address_2": "VOLUNTEERS IN MEDICINE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023201",
            "telephone_number": "904-399-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KATHALEEN",
        "middle_name": "C",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP513832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305057200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.