Nancy Beth Bloss Tumarkin, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME79732 Issued in FL

Practice address

401 Pasadena Ave S
Saint Petersburg, FL 33707-2101

Phone

(727) 368-2358

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: n.beth.bloss.tumarkin.1@7037.direct.athenahealth.com

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1992926265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PASADENA AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337072101",
            "telephone_number": "727-368-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PASADENA AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337072101",
            "telephone_number": "727-368-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSS TUMARKIN",
        "first_name": "NANCY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME79732",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME79732",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME79732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277061000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloom Into Balance Psychiatry & Wellness, PLLC
• Bloom Therapy Center of St. Pete, LLC
• Bernard Bloom
• Steven Bloom, DDS
• Trevor Blose
• Sonja Katherine Blosser, PTA
• Blossom Family Chiropractic
• Blossom Medical Center Corp
• Blossoming Wellbeing Corp.
• Blossoming Wellbeing Telepsychiatry

• Child & Adolescent Psychiatry Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.