MS. CRYSTAL D BLOOM RN
NPI 1174898902
Registered Nurse - Psychiatric/Mental Health in Middleburg, FL

Active since March 13, 2012
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068(904) 291-5561(904) 291-5575 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Crystal D Bloom Rn NPPES

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

MS. CRYSTAL D BLOOM RN (NPI 1174898902) is an individual psychiatric/mental health provider in Middleburg, Florida, licensed in Florida (RN9324837) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1174898902
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMS. CRYSTAL D BLOOMCredential: RN
Location Address3292 COUNTY ROAD 220Middleburg, FL 32068-4357
Mailing Address1726 Kingsley Ave, Suite 2Orange Park, FL 32073-4463 · (904) 278-5644 · Fax (904) 278-5659
Fax(904) 291-5575
Sole ProprietorNo
Enumeration DateMarch 13, 2012
NPI 1174898902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in FL · RN9324837
3292 COUNTY ROAD 220, Middleburg, FL 32068

Other Identifiers 1

Medicaid9324837FL

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.

Social Worker (Clinical)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Social Worker (Clinical)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068

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 Crystal Bloom's NPI number?

The NPI number for Crystal Bloom is 1174898902. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Crystal Bloom located?

Crystal Bloom practices at 3292 County Road 220, Middleburg, FL 32068. The listed phone number is (904) 291-5561.

What is Crystal Bloom's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Crystal Bloom was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.