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DR. STACI BLOOM PH.D.
NPI 1306179460
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since September 08, 2009
7777 FOREST LN, SUITE B-326, DALLAS, TX 75230(972) 566-8466 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Staci Bloom Ph.d. NPPES

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

DR. STACI BLOOM PH.D. (NPI 1306179460) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1306179460
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. STACI BLOOMCredential: PH.D.
Location Address7777 FOREST LN, SUITE B-326Dallas, TX 75230-2505
Mailing Address7777 Forest Ln, Suite B-326Dallas, TX 75230-2505 · (972) 566-8466
Phone(972) 566-8466
Sole ProprietorNo
Enumeration DateSeptember 8, 2009
✔ NPI 1306179460 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.
7777 FOREST LN, Dallas, TX 75230
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Other Identifiers 1

Other38529National Certification For School Psychologists

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.

JEFFREY SZOT M.D.
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-2667
NORTH DALLAS ORTHOPEDICS & REHABILITATION, PA
Clinic/Center
7777 FOREST LN, C-500
DALLAS, TX 75230
Dallas County (972) 566-6366
KASEY REHME
Speech-Language Pathologist
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
DR. CHRISTIAN BREWER MD
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
JEFFREY L. HORSWELL, MD PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 247-9946
MRS. AMELIE P. MCKNEELY PA-C
Physician Assistant (Surgical)
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
MRS. SUSAN KAY DEAHL M.C.D.
Audiologist-Hearing Aid Fitter
7777 FOREST LN, BUILDING C SUITE 100
DALLAS, TX 75230
Dallas County (972) 566-4848
360 ANESTHESIA, PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-4817

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 Staci Bloom's NPI number?

The NPI number for Staci Bloom is 1306179460. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Staci Bloom located?

Staci Bloom practices at 7777 Forest Ln Suite B-326, Dallas, TX 75230. The listed phone number is (972) 566-8466.

What is Staci Bloom's specialty?

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

When was this NPI record last updated?

The NPPES record for Staci Bloom was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.