1. Home
  2. Directory
  3. Tennessee
  4. Knoxville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

GRAYSEN MCCONNELL BLOOM
NPI 1447900402
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since March 24, 2022PECOS Enrolled
1924 ALCOA HWY # U-63, KNOXVILLE, TN 37920(865) 305-9123 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Graysen Mcconnell Bloom NPPES

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

GRAYSEN MCCONNELL BLOOM (NPI 1447900402) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447900402
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRAYSEN MCCONNELL BLOOM
Location Address1924 ALCOA HWY # U-63Knoxville, TN 37920-1511
Mailing Address1924 Alcoa Hwy # U-63Knoxville, TN 37920-1511 · (865) 305-9123
Phone(865) 305-9123
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1447900402 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.
1924 ALCOA HWY # U-63, Knoxville, TN 37920
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graysen Mcconnell Bloom 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 13

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

DEVIN GILLIS
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123
JOHN FRANKLIN MURCHISON III
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123
JARED MICHAEL WINGERTER MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123
KYLE MUELLER
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123
DR. REID BOULET DDS, MSC
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123
LANDON WILSON DMD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123
DR. AMY CHRISTINE CUSTER MD, DDS
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123
DAVID HIGH
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-63
KNOXVILLE, TN 37920
Knox County (865) 305-9123

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 Graysen Bloom's NPI number?

The NPI number for Graysen Bloom is 1447900402. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Graysen Bloom located?

Graysen Bloom practices at 1924 Alcoa Hwy # U-63, Knoxville, TN 37920. The listed phone number is (865) 305-9123.

What is Graysen 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 Graysen Bloom enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Graysen Bloom was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.