Johnnie Bloom, LPN
Licensed Practical Nurse in Somerville, Massachusetts
1659456952- Practice location
- 260 Beacon St, Somerville, MA 02143-3534
- Phone
- 617-661-5700
- Fax
- —
- Last updated
- July 8, 2007
Johnnie Bloom is a Licensed Practical Nurse based in Somerville, MA. Johnnie Bloom practices in Somerville, MA and has the professional credentials of LPN. The NPI Number for Johnnie Bloom is 1659456952 and holds a License No. 53794 (MA). The current practice location address for Johnnie Bloom is 260 Beacon St, Somerville, MA 02143-3534 and can be reached out via phone at 617-661-5700.
Provider Profile Details
- NPI Number
- 1659456952
- Provider Name
- Johnnie Bloom
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 260 Beacon St, Somerville, MA 02143-3534
- Phone Number
- 617-661-5700
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 260 Beacon St
Somerville, MA 02143-3534 - City
- Somerville
- State
- Massachusetts
- Zip
- 02143-3534
- Phone Number
- 617-661-5700
Provider Business Mailing Address Details
- Address
- 260 Beacon St
Somerville, MA 02143-3534 - City
- Somerville
- State
- MA
- Zip
- 02143-3534
- Phone Number
- 617-661-5700
License Information
- License Number
- 53794
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Johnnie Bloom, LPN?
The NPI number of Johnnie Bloom, LPN is 1659456952. It was assigned on October 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Johnnie Bloom, LPN?
Johnnie Bloom, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number 53794.
Where does Johnnie Bloom, LPN practice?
The practice location is 260 Beacon St, Somerville, MA 02143-3534. The office can be reached at 617-661-5700 (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 1659456952 directly on the NPPES registry website.