City of Bloomington

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CITY OF BLOOMINGTON

Practice address

1900 W Old Shakopee Rd
Bloomington, MN 55431-3029

Phone

(952) 563-8900

Fax

(952) 563-8997

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie Paulsen, DNP, MSN, PHN

Title

Health Administrator

Phone

(952) 563-8905

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Bloomington Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

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

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1992869820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313071",
            "telephone_number": "952-563-8700",
            "fax_number": "952-563-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313029",
            "telephone_number": "952-563-8900",
            "fax_number": "952-563-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BLOOMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "952-563-8905",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, MSN, PHN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079553400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1613BL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "164328",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8300076",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885353300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPOLITAN HEALTH PLAN",
            "identifier": "570001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomington Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riley Church
• Jeffrey A Chuy, M.D.
• Karen Elaine Ciesielczyk, M.S., CCC-SLP
• Erica Ciparelli, PSYD, LP
• Katrina S Cisneros, LICSW
• Brittany Clapshaw
• Lauren Chanel Clardy
• Christine Marie Clarin
• Casey Clark, MD
• Stephanie Clark, PA-C

• Public Health or Welfare Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.