Organization Active NPI

Bloom Acupuncture and Integrative Medicine

  • Acupuncturist
  • Folsom, CA
National Provider Identifier
1982216941
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BLOOM ACUPUNCTURE AND INTEGRATIVE MEDICINE
Practice address
715 Sutter St Ste D
Folsom, CA 95630-2569
Phone
(916) 346-2529
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Heather Reagan, DAOM
Title
Doctor of Acupuncture
Phone
(916) 346-2529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

715 Sutter St Ste D
Folsom, CA 95630-2569

Mailing address

715 Sutter St Ste D
Folsom, CA 95630-2569
Phone (916) 346-2529

National Provider Directory

National Provider Directory

Locations

715 Sutter St
Ste D
Folsom, CA 95630
Phone (916) 346-2529

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1982216941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SUTTER ST STE D",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302569",
            "telephone_number": "916-346-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SUTTER ST STE D",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302569",
            "telephone_number": "916-346-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ACUPUNCTURE AND INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DOCTOR OF ACUPUNCTURE",
        "authorized_official_telephone_number": "916-346-2529",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.