DR. JESSICA LYNN BLOOM (NPI# 1366836512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366836512 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LYNN BLOOM |
| Credential | M.D. |
| Practice Address |
13123 E 16th Ave Aurora CO 80045-7106 |
| Mailing Address |
13001 E 17th Pl Aurora CO 80045-2570 |
| Practice Telephone | 7207776738 |
| Mailing Telephone | 7207776738 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
DR.0060290 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144633520 | Jessica Bloom | Counselor | 3633 W Lake Ave Ste 308, Glenview, IL 60026-5803 | 2014-06-03 |
| 1174702583 | Jessica Ann Bloom | Specialist | 5617 W Von Ave Unit C, Monee, IL 60449-7917 | 2007-11-01 |
| 1801934724 | Jessica Bloom | Social Worker | 500 19th St, Brooklyn, NY 11215-6204 | 2007-02-02 |
| 1275140477 | Jessica Bloom | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-30 |
| 1588287387 | Jessica Bloom | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-05-27 |
| 1639336381 | Jessica Katherine Bloom | Pharmacist | 200 Pharmacy Drive, Smyrna, DE 19977 | 2008-05-20 |
| 1437199643 | Jessica J. Bloom | Family Medicine | 3500 Orchard Pl, Bellingham, WA 98225-1749 | 2006-06-07 |
| Street Address |
13123 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1730789157 | Lauren S Henry | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-26 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1821695388 | Maria Clara Rios | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-07 |
| 1306453485 | Ozlem Turan | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-23 |
| 1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
| 1407460447 | Milena Teresa Hathaway | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-08 |
| 1386258622 | Ann Lantagne | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-03 |
| 1780295824 | Jelena Brezo | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-08-12 |
| 1154930808 | Audrey Niemchick | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518257427 | Joel Brian Shirley | Pediatrics | 13123 E 16th Ave # 311, Aurora, CO 80045-7106 | 2011-04-12 |
| 1639254378 | Jennifer Soep | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-25 |
| 1356454235 | Megan L. Curran | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045 | 2006-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.