SECOND BLOOM WOMENS HEALTH PLLC
NPI 1619817244
Obstetrics & Gynecology - Gynecology in Minneapolis, MN
NPI Status: Active since March 31, 2026
Contact Information
1200 W BROADWAY AVE
MINNEAPOLIS, MN
ZIP 55411
Phone: (612) 382-8862
Fax: (612) 500-4946
- Organization
- Obstetrics & Gynecology
- Gynecology
- CLIA Number: 24D2342777
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-26-2028
About SECOND BLOOM WOMENS HEALTH PLLC
This page provides the complete NPI Profile along with additional information for Second Bloom Womens Health Pllc, a women's health care provider established in Minneapolis, Minnesota operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1619817244 assigned on March 2026. The practitioner's primary taxonomy code is 207VG0400X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Natya Nate Stroud Dnp (Nurse Practitioner)
- NPI
- 1619817244
- Provider Name
- SECOND BLOOM WOMENS HEALTH PLLC
- Entity Type
- Organization
- Location Address
- 1200 W BROADWAY AVE MINNEAPOLIS, MN 55411
- Location Phone
- (612) 382-8862
- Location Fax
- (612) 500-4946
- Mailing Address
- 6257 BEN MORE DR NE FRIDLEY, MN 55432
- Mailing Fax
- (612) 500-4946
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2026
- Last Update Date
- 04-08-2026
- Code Navigator
Women's health care providers like Second Bloom Womens Health Pllc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2342777
- Facility Type
- Practitioner Other
- Certificate Effective Date
- April 27, 2026
- Certificate Expiration Date
- April 26, 2028
- Laboratory Director
- NATYA STROUD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Second Bloom Womens Health Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619817244, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MINNEAPOLIS, MN 55411
MINNEAPOLIS, MN 55411
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619817244, enumerated as an "organization" on March 31, 2026.
The provider is located at 1200 W BROADWAY AVE MINNEAPOLIS, MN 55411 and the phone number is (612) 382-8862.
Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.
