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BLOOM PEDIATRICS WALK IN CLINIC LLC
NPI 1124991443
Nurse Practitioner - Pediatrics in Fort Mill, SC

Active since September 24, 2025CLIA 42D2331784 · Waiver
5529 ARDEN MILL DR STE 101, FORT MILL, SC 29715(808) 721-0179 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloom Pediatrics Walk In Clinic Llc NPPES

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

BLOOM PEDIATRICS WALK IN CLINIC LLC (NPI 1124991443), doing business as Bloom Pediatrics, is a healthcare organization registered as a pediatrics in Fort Mill, South Carolina and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Ashlene Karasch, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1124991443
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBLOOM PEDIATRICS WALK IN CLINIC LLC
Location Address5529 ARDEN MILL DR STE 101Fort Mill, SC 29715-6977
Mailing Address5529 Arden Mill Dr Ste 101Fort Mill, SC 29715-6977 · (808) 721-0179
Phone(808) 721-0179
Organization SubpartNo
Authorized OfficialAshlene KaraschProvider/owner · (808) 721-0179
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1124991443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
5529 ARDEN MILL DR STE 101, Fort Mill, SC 29715
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Other Names 1

Doing Business AsBloom Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2331784

Bloom Pediatrics · Fort Mill, SC
Active · expires Oct 7, 2027
CLIA Number42D2331784
Laboratory TypePractitioner Other
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorAshlene T. Karasch
Laboratory Phone(808) 721-0179
Laboratory LocationBloom Pediatrics5529 Arden Mill Drive, Ste 101, Fort Mill, SC 29715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

APRIL WILSON ANSLEY RN
Nurse Practitioner (Family)
5529 ARDEN MILL DR STE 101
FORT MILL, SC 29715
York County (803) 280-1085
ELIZABETH RYAN LOFLIN APRN
Nurse Practitioner (Pediatrics)
5529 ARDEN MILL DR STE 101
FORT MILL, SC 29715
York County (828) 719-0936
ASHLENE TERESA KARASCH NP
Nurse Practitioner
5529 ARDEN MILL DR STE 101
FORT MILL, SC 29715
York County (803) 280-1085

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 Bloom Pediatrics Walk In Clinic LLC's NPI number?

The NPI number for Bloom Pediatrics Walk In Clinic LLC is 1124991443. It was assigned to this organization in the NPPES registry on September 24, 2025. The provider is doing business as Bloom Pediatrics.

Where is Bloom Pediatrics Walk In Clinic LLC located?

Bloom Pediatrics Walk In Clinic LLC is located at 5529 Arden Mill Dr Ste 101, Fort Mill, SC 29715. The listed phone number is (808) 721-0179.

What is Bloom Pediatrics Walk In Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Bloom Pediatrics Walk In Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2331784) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bloom Pediatrics Walk In Clinic LLC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.