JOHNNIE BLOOM (NPI# 1659456952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659456952 |
| Entity Type | Individual |
| Full Name | JOHNNIE BLOOM |
| Credential | LPN |
| Practice Address |
260 Beacon St Somerville MA 02143-3534 |
| Practice Telephone | 6176615700 |
| Mailing Telephone | 6176615700 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 53794 | MA | Nursing Service Providers |
| Street Address |
260 BEACON ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639259146 | Patrick S Griswold | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2006-10-17 |
| 1649660705 | Lea Christine Slaughter | Counselor | 260 Beacon St, Somerville, MA 02143 | 2015-01-28 |
| 1760882492 | Claire Elwyn | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2014-08-29 |
| 1639423361 | Kelsey Ann Madden | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2012-11-02 |
| 1437408333 | Erin Dorothea Grey | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2012-09-06 |
| 1831448752 | Cara Roddy | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2012-09-06 |
| 1013283134 | Dana Ellsmore | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2012-03-23 |
| 1629352919 | Alycia Buchheit | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2011-10-05 |
| 1053629840 | Valerie Krpata | Counselor | 260 Beacon St, Somerville, MA 02143 | 2010-09-15 |
| 1528394160 | Sara Swati Antani | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2009-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1619312022 | Linda Christine Buttree | Licensed Practical Nurse | 10818 Gratis Jacksonburg Rd, Somerville, OH 45064-9629 | 2013-04-30 |
| 1790021079 | Terri Roberson | Licensed Practical Nurse | 2103 Mendenhall Rd, Somerville, OH 45064-9430 | 2012-12-14 |
| 1558641613 | Melissa Lynn Chesnut | Licensed Practical Nurse | 4418 Camden West Elkton Rd, Somerville, OH 45064-9449 | 2011-08-22 |
| 1275852691 | Patricia A. Ballard | Licensed Practical Nurse | 13796 State Route 122, Somerville, OH 45064-9556 | 2010-05-25 |
| 1427686146 | Joseph Tebandeke | Licensed Practical Nurse | 31 Union Sq, Somerville, MA 02143-3033 | 2020-03-29 |
| 1124667183 | Marie N Paul | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-12-22 |
| 1386203255 | Stephanie Jeudy | Licensed Practical Nurse | 33 Tower St, Somerville, MA 02143-1426 | 2019-06-13 |
| 1811469711 | Mary Fortin | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2018-12-18 |
| 1174025514 | Julie Gavin | Licensed Practical Nurse | 300 Broadway, Somerville, MA 02145-2935 | 2018-03-01 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on JOHNNIE BLOOM.
| 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.