Individual provider Active NPI

Megan M Bloemker

  • Social Worker
  • Jacksonville, FL
National Provider Identifier
1932909108
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW21595 Issued in FL
Practice address
7901 Baymeadows Way Ste 8
Jacksonville, FL 32256-8535
Phone
(407) 851-5121
NPI assigned
Mar 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW21595 FL Primary

Addresses

Primary practice location

7901 Baymeadows Way Ste 8
Jacksonville, FL 32256-8535

Mailing address

7790 Collins Ridge Blvd
Jacksonville, FL 32244-6420
Phone (630) 699-1809

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

State licenses

LicenseStateTypeSpecialty
ISW21595FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1932909108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7790 COLLINS RIDGE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446420",
            "telephone_number": "630-699-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BAYMEADOWS WAY STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568535",
            "telephone_number": "407-851-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEMKER",
        "first_name": "MEGAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW21595",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2025; 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.