PENNY ANN BLOOM


Address: 188 Clearwater Cir, Rochester, NY 14612-3081
Phone: 5852595001

PENNY ANN BLOOM (NPI# 1487122180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487122180
Entity Type Individual
Full Name PENNY ANN BLOOM
Credential RN
Practice Address 188 Clearwater Cir
Rochester
NY 14612-3081
Practice Telephone 5852595001
Mailing Telephone 5852595001
Enumeration Date 2018-11-12
Last Update Date 2018-11-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
674239 NY Nursing Service Providers

Office Location

Street Address 188 CLEARWATER CIR
City ROCHESTER
State NY
Zip Code 14612-3081

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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952667164 Kelly Evelyn Rekkerth Registered Nurse 144 Squareview Ln, Rochester, NY 14626-1868 2012-04-02
1730463928 Audra D Clements Registered Nurse 162 Rawlinson Rd, Rochester, NY 14617-4636 2011-10-05
1689977753 Eileen Mary Ludwig Registered Nurse 465 Blossom Rd Ste C1, Rochester, NY 14610-1842 2010-12-13
1174830145 Philip A Mevs Registered Nurse 70 Metro Park, Rochester, NY 14623-2608 2010-09-10
1790315703 Jacqueline Anne Germano Registered Nurse 1111 Elmwood Ave, Rochester, NY 14620-3005 2020-01-17
1003454877 Nancy Marie Dann Registered Nurse 111 Westfall Rd, Rochester, NY 14620-4647 2019-12-12
1700372844 Kathleen Anne Howard-schoeberl Registered Nurse 111 Westfall Rd, Rochester, NY 14620-4647 2018-07-02
1033504543 Tiffiny Duchene Registered Nurse 4986 N Adams Rd, Rochester, MI 48306-5017 2015-04-01
1366835464 Faith Steves Registered Nurse 1111 Elmwood Ave, Rochester, NY 14620-3005 2015-03-13
1346681673 Kimberly Anne Spitzer Registered Nurse 111 Westfall Rd, Rochester, NY 14620-4647 2013-07-15
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Competitor

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City ROCHESTER
Zip Code 14612

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Dataset Information

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.

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