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SECOND BLOOM WOMENS HEALTH PLLC
NPI 1619817244
Obstetrics & Gynecology - Gynecology in Minneapolis, MN

Active since March 31, 2026CLIA 24D2342777 · Waiver
1200 W BROADWAY AVE, MINNEAPOLIS, MN 55411(612) 382-8862(612) 500-4946 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Mar 31, 2026 (2 updates tracked since 2026).

About Second Bloom Womens Health Pllc NPPES

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

SECOND BLOOM WOMENS HEALTH PLLC (NPI 1619817244) is a healthcare organization registered as a gynecology in Minneapolis, Minnesota and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Natya Nate Stroud, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1619817244
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameSECOND BLOOM WOMENS HEALTH PLLC
Location Address1200 W BROADWAY AVEMinneapolis, MN 55411-2572
Mailing Address6257 Ben More Dr NeFridley, MN 55432-5207 · Fax (612) 500-4946
Phone(612) 382-8862
Fax(612) 500-4946
Organization SubpartNo
Authorized OfficialNatya Nate StroudNurse Practitioner · (612) 382-8862
Enumeration DateMarch 31, 2026
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1619817244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1200 W BROADWAY AVE, Minneapolis, MN 55411
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2342777

Second Bloom Women's Health · Minneapolis, MN
Active · expires Apr 26, 2028
CLIA Number24D2342777
Laboratory TypePractitioner Other
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorNatya Stroud
Laboratory Phone(612) 382-8862
Laboratory LocationSecond Bloom Women's Health1200 W Broadway, Minneapolis, MN 55411
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TABITHA VACHUSKA
Technician (Personal Care Attendant)
1200 W BROADWAY AVE, SUITE # 160
MINNEAPOLIS, MN 55411
Hennepin County (612) 353-6308
NOBILITY HOME HEALTH CARE INC
Health Maintenance Organization
1200 W BROADWAY AVE, SUITE 130
MINNEAPOLIS, MN 55411
Hennepin County (612) 529-4646

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 Second Bloom Womens Health PLLC's NPI number?

The NPI number for Second Bloom Womens Health PLLC is 1619817244. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Second Bloom Womens Health PLLC located?

Second Bloom Womens Health PLLC is located at 1200 W Broadway Ave, Minneapolis, MN 55411. The listed phone number is (612) 382-8862.

What is Second Bloom Womens Health PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Second Bloom Womens Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2342777) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Second Bloom Womens Health PLLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.