NEW BLOOM HEALTH CENTER
NPI 1689400467
Family Medicine in Williston, VT

Active since September 10, 2024CLIA 47D2332727 · Waiver
28 PARK AVE # 201, WILLISTON, VT 05495(802) 203-2550(802) 419-4825 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 19, 2025, Sep 10, 2024 (2 updates tracked since 2024).

About New Bloom Health Center NPPES

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

NEW BLOOM HEALTH CENTER (NPI 1689400467) is a healthcare organization registered as a family medicine in Williston, Vermont and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Michelle Paavola, Owner, as its authorized official.

NPPES Registry Identity

NPI1689400467
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW BLOOM HEALTH CENTER
Location Address28 PARK AVE # 201Williston, VT 05495-9701
Mailing Address28 Park Ave # 201Williston, VT 05495-9701 · (802) 203-2550 · Fax (802) 419-4825
Fax(802) 419-4825
Organization SubpartNo
Authorized OfficialMichelle PaavolaOwner · (714) 743-6158
Enumeration DateSeptember 10, 2024
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1689400467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

28 PARK AVE # 201, Williston, VT 05495

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 47D2332727

New Bloom Health Center · Williston, VT
Active · expires Oct 22, 2027
CLIA Number47D2332727
Laboratory TypeIndependent
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorMichelle M. Paavola
Laboratory Phone(802) 203-2550
Laboratory LocationNew Bloom Health Center28 Park Ave, Ste 201, Williston, VT 05495
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
28 PARK AVE # 201
WILLISTON, VT 05495

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 New Bloom Health Center's NPI number?

The NPI number for New Bloom Health Center is 1689400467. It was assigned to this organization in the NPPES registry on September 10, 2024.

Where is New Bloom Health Center located?

New Bloom Health Center is located at 28 Park Ave # 201, Williston, VT 05495. The listed phone number is (802) 203-2550.

What is New Bloom Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does New Bloom Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2332727) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Bloom Health Center was last updated on March 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.