Bluestem Farms LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BLUESTEM FARMS LLC

Practice address

6721 Lake Harbour Dr
Midlothian, VA 23112-2083

Phone

(804) 739-8400

Fax

(804) 739-5579

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Vickie Jones

Title

Office Manager

Phone

(804) 739-4000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Robinson, OD

  • Optometrist
  • Midlothian, VA
  • NPI 1649998030
  Medicare reassignment Care Compare group NPD
• Robie Harold Robinson, O.D,

  • Optometrist
  • Midlothian, VA
  • NPI 1700873692
  Medicare reassignment Care Compare group NPD
• Jeffrey Carter Michaels, O.D.

  • Optometrist
  • Glen Allen, VA
  • NPI 1174517726
  NPD (past)

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1922690908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 LAKE HARBOUR DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122083",
            "telephone_number": "804-739-8400",
            "fax_number": "804-739-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 LAKE HARBOUR DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122083",
            "telephone_number": "804-739-8400",
            "fax_number": "804-739-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTEM FARMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-739-4000"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl M Block
• Heather Bloebaum Laramore, PHARMD
• John Bloom, DDS
• Amanda Bloomquest
• Bluecare Transportation LLC
• Bethany Boblett
• Juliana Bock, O.D.
• Dianna M Boclair, P.T., DPT, GCS
• Amy Coyle Bodman
• Logan Taylor Boe, RBT

• Medical Specialty Clinic/Center in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.