GLORIA BLOOM (NPI# 1689168783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689168783 |
| Entity Type | Individual |
| Full Name | GLORIA BLOOM |
| Practice Address |
524 W Centre Ave Portage MI 49024-5306 |
| Mailing Address |
5682 Old Mission St Portage MI 49024-1135 |
| Practice Telephone | 2693241180 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704051661 | MI | Nursing Service Providers |
| Street Address |
524 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548304645 | Advantage Private Nursing Services, Inc | Nursing Care | 524 W Centre Ave, Portage, MI 49024-5306 | 2007-02-20 |
| 1316570203 | Lori Ellis | Registered Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2020-02-19 |
| 1417507344 | Alicia Pueblo | Licensed Practical Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2019-09-12 |
| 1952872665 | Janis Callahan | Registered Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-12-07 |
| 1992280465 | Lisa Chapman | Registered Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-10-01 |
| 1477031664 | Heather Bakken | Registered Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-07-31 |
| 1356828743 | Penny Devries | Licensed Practical Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-07-27 |
| 1134614829 | Todd Pushee | Registered Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-06-26 |
| 1154816965 | Vicki Lynn Gates | Registered Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-06-25 |
| 1699269456 | Bernard Mun | Licensed Practical Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1700376498 | Linda Dorbin | Registered Nurse | 10071 Portage Rd, Portage, MI 49002-7249 | 2018-05-17 |
| 1770088585 | Deborah J Dorsch | Registered Nurse | 6212 Us Highway 6 # 195, Portage, IN 46368-5057 | 2018-03-26 |
| 1225582919 | Pamela Collier | Registered Nurse | 2616 Bach Ave, Portage, MI 49024-6604 | 2016-08-10 |
| 1366802399 | Teresa Hegwood | Registered Nurse | 6527 Westchester St, Portage, MI 49024-3260 | 2016-03-03 |
| 1154791887 | Meghann Faye Martus | Registered Nurse | 5433 Fitz Ave, Portage, IN 46368-1414 | 2015-10-07 |
| 1972989044 | Deborah Sue Heiser | Registered Nurse | 2018 Fairfield Rd, Portage, MI 49002-1546 | 2015-07-30 |
| 1215322805 | Emily Eliza Pyne | Registered Nurse | 10165 Lloy St, Portage, MI 49024-6834 | 2015-04-01 |
| 1083004097 | Rachel Mol | Registered Nurse | 3026 Witters Ct, Portage, MI 49024-6656 | 2015-01-28 |
| 1194077131 | Laurie Linzing | Registered Nurse | 614 W Slifer St Apt 2, Portage, WI 53901-1146 | 2012-10-14 |
| 1407112139 | Lenee Powell-wilson | Registered Nurse | 4619 Fox Valley Dr Apt 2a, Portage, MI 49024-8197 | 2012-04-06 |
| Find all providers in PORTAGE | ||||
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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.