Blossoming Wellbeing Telepsychiatry

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

BLOSSOMING WELLBEING TELEPSYCHIATRY

Practice address

9800 4TH St N Ste 200
St Petersburg, FL 33702-2462

Phone

(833) 399-0957

Fax

(727) 335-1174

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

La Tasha Al-Jarboua, PA-CNPI 1588078000

Title

Owner/Ceo

Phone

(304) 237-8733

Specialties & licenses 1

Addresses

Practitioners 1

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

• La Tasha Al-Jarboua, PA-C

  • Child & Adolescent Psychiatry Physician
  • St Petersburg, FL
  • NPI 1588078000
  NPD Authorized official

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1992319560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 4TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022462",
            "telephone_number": "833-399-0957",
            "fax_number": "727-335-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 4TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022462",
            "telephone_number": "833-399-0957",
            "fax_number": "727-335-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING WELLBEING TELEPSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "AL-JARBOUA",
        "authorized_official_first_name": "LA TASHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "304-237-8733",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Beth Bloss Tumarkin, M.D.
• Sonja Katherine Blosser, PTA
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• Brandi M Blount, CRNA
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• Blue Wellness, LLC (Blueprint Health)
• Bluff Knoll Emergency Physicians LLC

• Addiction Medicine (Psychiatry & Neurology) Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.