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: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 33D2259996
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-12-2028

About BLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC

This page provides the complete NPI Profile along with additional information for Blooming Pediatric & Family Nurse Practitioners Pllc, a provider established in New Hartford, New York operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1801548177 assigned on January 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. 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 Coral Montana Np (Owner)

NPI
1801548177 Verify this NPI
Provider Name
BLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC
Entity Type
Organization
Location Address
1 OXFORD XING STE 3 NEW HARTFORD, NY 13413
Location Phone
(315) 662-0162
Mailing Address
1 OXFORD XING STE 3 NEW HARTFORD, NY 13413
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2022
Last Update Date
01-19-2022
Code Navigator

A nurse practitioner (NP) like Blooming Pediatric & Family Nurse Practitioners Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CORAL MONTANA NP

Authorized Official Title
OWNER
Authorized Official Phone
(315) 662-0162

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
33D2259996
Facility Type
Practitioner Other
Certificate Effective Date
May 13, 2026
Certificate Expiration Date
May 12, 2028
Laboratory Director
CORAL N. MONTANA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blooming Pediatric & Family Nurse Practitioners 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.

Reviews for BLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1801548177, enumerated as an "organization" on January 19, 2022.

The provider is located at 1 OXFORD XING STE 3 NEW HARTFORD, NY 13413 and the phone number is (315) 662-0162.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.