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CRYSTAL LYNN BLOOMER LPN
NPI 1275478943
Licensed Practical Nurse in Fayetteville, NC

Active since April 21, 2026
572 EXECUTIVE PL, FAYETTEVILLE, NC 28305(910) 864-8739(910) 864-8222 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Lynn Bloomer Lpn NPPES

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

CRYSTAL LYNN BLOOMER LPN (NPI 1275478943) is an individual licensed practical nurse in Fayetteville, North Carolina, licensed in North Carolina (87767) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1275478943
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCRYSTAL LYNN BLOOMERCredential: LPN
Location Address572 EXECUTIVE PLFayetteville, NC 28305-5585
Mailing Address572 Executive PlFayetteville, NC 28305-5585 · (910) 864-8739 · Fax (910) 864-8222
Phone(910) 864-8739
Fax(910) 864-8222
Sole ProprietorYes
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1275478943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NC · 87767
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
572 EXECUTIVE PL, Fayetteville, NC 28305
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Other Providers at the Same Location NPPES 4

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

ATS OF NORTH CAROLINA, LLC
Clinic/Center (Methadone)
572 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Cumberland County (910) 864-8739
JENNIFER RHODES
Counselor (Addiction (Substance Use Disorder))
572 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Cumberland County (910) 900-6333
MICHAEL HOOPER
Counselor
572 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Cumberland County (910) 864-8739
MELISSA GASKINS CADC-I, CPSS
Counselor (Addiction (Substance Use Disorder))
572 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Cumberland County (910) 864-8739

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 Bloomer's NPI number?

The NPI number for Crystal Bloomer is 1275478943. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Crystal Bloomer located?

Crystal Bloomer practices at 572 Executive Pl, Fayetteville, NC 28305. The listed phone number is (910) 864-8739.

What is Crystal Bloomer's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Crystal Bloomer was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.