LONNA DEE BLOOM (NPI# 1952540817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952540817 |
| Entity Type | Individual |
| Full Name | LONNA DEE BLOOM |
| Credential | PA-C |
| Practice Address |
2930 11th Ave Evans CO 80620-1011 |
| Practice Telephone | 9703951130 |
| Practice Fax Number | 9703539906 |
| Mailing Telephone | 9703539403 |
| Mailing Fax Number | 9703539906 |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
114 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2930 11TH AVE |
| City | EVANS |
| State | CO |
| Zip Code | 80620-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
| 1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
| 1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
| 1558993170 | Kelly Dineen Scott-kitzman | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-02-11 |
| 1851930663 | Sunrise Community Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2019-12-26 |
| 1942843743 | Emily E Wright | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-24 |
| 1053953232 | Hannah Constantin | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-09 |
| 1134695745 | Sarah Elizabeth Curzon | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-22 |
| 1881160638 | Krista Gail Jones | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-19 |
| 1376026336 | Amy Renee Brodeur | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
| 1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
| 1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
| 1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
| 1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
| 1316430812 | Niki Avery Pediatric Pt LLC | Physical Therapist | 1050 37th St, Evans, CO 80620 | 2018-06-08 |
| 1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
| 1760922827 | Shanea Barickman | Home Health Aide | 3222 11th Ave, 313, Evans, CO 80620-1545 | 2017-03-08 |
| 1013429695 | Malama Ohana LLC | Home Health | 3222 11th Ave Apt 313, Evans, CO 80620-1546 | 2017-11-03 |
| 1154578961 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3247 23rd Ave, Evans, CO 80620-1733 | 2008-08-22 |
| Find all providers in zip 80620 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1740724996 | Elizabeth O'hara Richardson | Physician Assistant | 447 N Belair Rd Ste 101, Evans, GA 30809-3091 | 2016-12-07 |
| 1831646041 | Stephen Robert Dominey | Physician Assistant | 4301 University Pkwy, Evans, GA 30809-3089 | 2016-09-06 |
| 1982056719 | Erin Manak | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2016-07-05 |
| 1104254184 | Jessica Fields | Physician Assistant | 902 Ponder Place Ct, Suite 3, Evans, GA 30809-3184 | 2013-10-29 |
| 1962784785 | Kenneth Ray Johnson | Physician Assistant | 1203 Town Park Ln, Evans, GA 30809 | 2011-09-19 |
| 1144213562 | Delores Schwartz | Physician Assistant | 465 N Belair Rd, Ste 1b, Evans, GA 30809-3188 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1013478445 | Robin Elise Feldman | Physician Assistant | 17033 E Dorado Dr, Centennial, CO 80015-3029 | 2019-03-28 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1639650252 | Jade Golden | Physician Assistant | 101 Founders Pl Ste 109, Aspen, CO 81611-1476 | 2018-08-22 |
| 1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
| 1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
| 1932622719 | Brooke Annette Albert | Physician Assistant | 2801 Youngfield St Ste 150, Golden, CO 80401-0209 | 2017-07-24 |
| 1912433400 | Wendy Miller | Physician Assistant | 4041 E Forbes Ct, Greenwood Village, CO 80121-3943 | 2017-05-03 |
| 1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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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.