Active NPIIndividual provider

Joeimy G Bloom, NURSE PRACTITIONER

Nurse Practitioner, Family in Hyde Park, Massachusetts

NPI Number1487452504
Practice location
188 Providence St, Hyde Park, MA 02136-1861
Fax
—
Last updated
March 11, 2025

Joeimy Gonzalez Bloom is a Nurse Practitioner, Family based in Hyde Park, MA. Joeimy Gonzalez Bloom practices in Hyde Park, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Joeimy Gonzalez Bloom is 1487452504 and holds a License No. RN2352591 (MA). The current practice location address for Joeimy Gonzalez Bloom is 188 Providence St, Hyde Park, MA 02136-1861 and can be reached out via phone at 617-361-2166.

Provider Profile Details

NPI Number
1487452504
Provider Name
Joeimy Gonzalez Bloom
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
188 Providence St, Hyde Park, MA 02136-1861
Phone Number
617-361-2166
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
March 4, 2025
Last Update Date
March 11, 2025
Certification Date
March 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
188 Providence St
Hyde Park, MA 02136-1861
Zip
02136-1861
Phone Number
617-361-2166
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
188 Providence St
Hyde Park, MA 02136-1861
City
Hyde Park
State
MA
Zip
02136-1861
Phone Number
617-361-2166

License Information

License Number
RN2352591
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Joeimy G Bloom, NURSE PRACTITIONER?

The NPI number of Joeimy G Bloom, NURSE PRACTITIONER is 1487452504. It was assigned on March 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Joeimy G Bloom, NURSE PRACTITIONER?

Joeimy G Bloom, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2352591.

Where does Joeimy G Bloom, NURSE PRACTITIONER practice?

The practice location is 188 Providence St, Hyde Park, MA 02136-1861. The office can be reached at 617-361-2166 (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 1487452504 directly on the NPPES registry website.

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