BLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC
NPI 1801548177
Nurse Practitioner - Family in New Hartford, NY

Active since January 19, 2022CLIA 33D2259996 · Waiver
1 OXFORD XING STE 3, NEW HARTFORD, NY 13413(315) 662-0162 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blooming Pediatric & Family Nurse Practitioners Pllc NPPES

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

BLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC (NPI 1801548177) is a healthcare organization registered as a family in New Hartford, New York and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Coral Montana, Owner, as its authorized official.

NPPES Registry Identity

NPI1801548177
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC
Location Address1 OXFORD XING STE 3New Hartford, NY 13413-3200
Mailing Address1 Oxford Xing Ste 3New Hartford, NY 13413-3200
Organization SubpartNo
Authorized OfficialCoral MontanaOwner · (315) 662-0162
Enumeration DateJanuary 19, 2022
NPPES CertifiedJanuary 12, 2022
NPI 1801548177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1 OXFORD XING STE 3, New Hartford, NY 13413

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 33D2259996

Blooming Pediatric & Family Nurse Practitioners PLLC · New Hartford, NY
Active · expires May 12, 2028
CLIA Number33D2259996
Laboratory TypePractitioner Other
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorCoral N. Montana
Laboratory Phone(315) 662-0162
Laboratory LocationBlooming Pediatric & Family Nurse Practitioners PLLC1 Oxford Crossing Suite 3, New Hartford, NY 13413
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 3

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

Nurse Practitioner (Family)
1 OXFORD XING STE 3
NEW HARTFORD, NY 13413
Registered Nurse (Lactation Consultant)
1 OXFORD XING STE 3
NEW HARTFORD, NY 13413
Nurse Practitioner (Psychiatric/Mental Health)
1 OXFORD XING STE 3
NEW HARTFORD, NY 13413

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 Blooming Pediatric & Family Nurse Practitioners PLLC's NPI number?

The NPI number for Blooming Pediatric & Family Nurse Practitioners PLLC is 1801548177. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Blooming Pediatric & Family Nurse Practitioners PLLC located?

Blooming Pediatric & Family Nurse Practitioners PLLC is located at 1 Oxford Xing Ste 3, New Hartford, NY 13413. The listed phone number is (315) 662-0162.

What is Blooming Pediatric & Family Nurse Practitioners PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Blooming Pediatric & Family Nurse Practitioners PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2259996) is associated with this NPI, valid through May 12, 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 Blooming Pediatric & Family Nurse Practitioners PLLC was last updated on January 19, 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.