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EMMA SOPHIA SKADHAUGE BLOOM MD
NPI 1083468060
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 15, 2024PECOS Enrolled
1959 NE PACIFIC STREET BOX 356421, SEATTLE, WA 98195(206) 543-3605 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emma Sophia Skadhauge Bloom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA SOPHIA SKADHAUGE BLOOM MD (NPI 1083468060) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083468060
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMMA SOPHIA SKADHAUGE BLOOMCredential: MD
Location Address1959 NE PACIFIC STREET BOX 356421Seattle, WA 98195-0001
Mailing Address27312 Shelburne DrValencia, CA 91354-2133
Phone(206) 543-3605
Sole ProprietorNo
Enumeration DateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1083468060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1959 NE PACIFIC STREET BOX 356421, Seattle, WA 98195
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Sophia Skadhauge Bloom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARINA KNYSHEVA
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (206) 543-3605
SIENNA LILA MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (503) 956-2627
SAMANTHA WONG MD, MS
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (206) 543-3605
JULIA ANN JOBE MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (509) 860-3217
NICOLE EVE WINCHESTER MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (860) 455-3011
DR. NATHANIEL BERGERON SISSON MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (206) 543-3605
MITIN NACHU
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (206) 543-3605
JENNIFER ZHU MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 98195
King County (206) 543-3605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emma Bloom's NPI number?

The NPI number for Emma Bloom is 1083468060. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Emma Bloom located?

Emma Bloom practices at 1959 NE Pacific Street Box 356421, Seattle, WA 98195. The listed phone number is (206) 543-3605.

What is Emma Bloom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emma Bloom enrolled in Medicare?

Yes. Emma Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emma Bloom was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.