Active NPIIndividual provider

Theresa Bloom, CPNP-PC

Nurse Practitioner, Pediatrics in Augusta, Maine

NPI Number1396611406
Practice location
6 E Chestnut St Ste 310, Augusta, ME 04330-5760
Fax
—
Last updated
March 3, 2026

Theresa Bloom is a Nurse Practitioner, Pediatrics based in Augusta, ME. Theresa Bloom practices in Augusta, ME and has the professional credentials of CPNP-PC. The NPI Number for Theresa Bloom is 1396611406 and holds a License No. CNP261085 (ME). The current practice location address for Theresa Bloom is 6 E Chestnut St Ste 310, Augusta, ME 04330-5760 and can be reached out via phone at 207-623-2977.

Provider Profile Details

NPI Number
1396611406
Provider Name
Theresa Bloom
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
6 E Chestnut St Ste 310, Augusta, ME 04330-5760
Phone Number
207-623-2977
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
October 15, 2025
Last Update Date
March 3, 2026
Certification Date
March 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 E Chestnut St Ste 310
Augusta, ME 04330-5760
State
Maine
Zip
04330-5760
Phone Number
207-623-2977
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
6 E Chestnut St Ste 310
Augusta, ME 04330-5760
City
Augusta
State
ME
Zip
04330-5760
Phone Number
207-623-2977

License Information

License Number
CNP261085
License State
ME
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Theresa Bloom, CPNP-PC?

The NPI number of Theresa Bloom, CPNP-PC is 1396611406. It was assigned on October 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Theresa Bloom, CPNP-PC?

Theresa Bloom, CPNP-PC is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in ME under license number CNP261085.

Where does Theresa Bloom, CPNP-PC practice?

The practice location is 6 E Chestnut St Ste 310, Augusta, ME 04330-5760. The office can be reached at 207-623-2977 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396611406 directly on the NPPES registry website.

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