1. Home
  2. Directory
  3. Massachusetts
  4. Somerville
  5. Licensed Practical Nurse
  6. NPI Profile

JOHNNIE BLOOM LPN
NPI 1659456952
Licensed Practical Nurse in Somerville, MA

Active since October 26, 2006
260 BEACON ST, SOMERVILLE, MA 02143(617) 661-5700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnnie Bloom Lpn NPPES

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

JOHNNIE BLOOM LPN (NPI 1659456952) is an individual licensed practical nurse in Somerville, Massachusetts, licensed in Massachusetts (53794) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1659456952
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJOHNNIE BLOOMCredential: LPN
Location Address260 BEACON STSomerville, MA 02143-3534
Mailing Address260 Beacon StSomerville, MA 02143-3534 · (617) 661-5700
Phone(617) 661-5700
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659456952 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 MA · 53794
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.

260 BEACON ST, Somerville, MA 02143
Open in Google Maps ↗

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.

DEBORAH SOSIN LICSW
Social Worker (Clinical)
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700
MAURA MATARSE
Counselor (Mental Health)
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700
JENIFER E STELMACK
Social Worker
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700
EILEEN P RUSH
Counselor (Mental Health)
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700
ELYSE PIPITONE
Student in an Organized Health Care Education/Training Program
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700
NATALIE HATCHER LPN
Licensed Practical Nurse
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700
JOUMATHE THEODORE
Counselor (Addiction (Substance Use Disorder))
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700
TIMOTHY F CASEY
Counselor (Addiction (Substance Use Disorder))
260 BEACON ST
SOMERVILLE, MA 02143
Middlesex County (617) 661-5700

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 Johnnie Bloom's NPI number?

The NPI number for Johnnie Bloom is 1659456952. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Johnnie Bloom located?

Johnnie Bloom practices at 260 Beacon St, Somerville, MA 02143. The listed phone number is (617) 661-5700.

What is Johnnie Bloom'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 Johnnie Bloom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.