Organization Active NPI

Bloom International Doula LLC

  • Doula
  • Waltham, MA
National Provider Identifier
1952150583
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
BLOOM INTERNATIONAL DOULA LLC
Practice address
3106 Stearns Hill Rd
Waltham, MA 02451-7110
Phone
(781) 800-3310
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Thais Koproski
Title
Doula
Phone
(781) 800-3310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

3106 Stearns Hill Rd
Waltham, MA 02451-7110

Mailing address

3106 Stearns Hill Rd
Waltham, MA 02451-7110
Phone (781) 800-3310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1952150583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 STEARNS HILL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517110",
            "telephone_number": "781-800-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 STEARNS HILL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517110",
            "telephone_number": "781-800-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM INTERNATIONAL DOULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "KOPROSKI",
        "authorized_official_first_name": "THAIS",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "781-800-3310"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.