Bloom Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BLOOM HEALTH LLC

Practice address

5310 NW 8TH Ave Ste 1
Gainesville, FL 32605-4468

Phone

(352) 580-6573

NPI assigned

Oct 31, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naomi Mostkoff, APRNNPI 1366078016

Title

Provider, Sole Proprietor

Phone

(352) 580-6573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naomi Mostkoff

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1366078016
  Medicare reassignment Care Compare group NPD Authorized official
• Malissa Badal-Yang

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1437037694
  Medicare reassignment Care Compare group NPD
• Ming-Jim Yang, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1821359589
  Medicare reassignment NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1982426771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 NW 32ND ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051412",
            "telephone_number": "786-514-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 NW 8TH AVE STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054468",
            "telephone_number": "352-580-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MOSTKOFF",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "PROVIDER, SOLE PROPRIETOR",
        "authorized_official_telephone_number": "352-580-6573",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany F Blocker, LMT
• Mario Sergio Blondin Fernandez
• Teresa Margaret Blood, PA-C
• Shannon Dawn Bloodworth, MA, RD, LDN
• Tabreshia Bloodworth, CNA
• Adrian Brian Blotner, MD
• Breanna Blotzer, CRNP
• Carla Vega Blouin, LCSW
• Danielle Shaquille Blount
• Karen Blount, OTR

• Health Service Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.