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INBLOOM, LLC
NPI 1972345205
Nurse Practitioner - Family in Germantown, TN

Active since June 07, 2024
2095 EXETER RD STE 80318, GERMANTOWN, TN 38138(901) 245-0199 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Inbloom, Llc NPPES

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

INBLOOM, LLC (NPI 1972345205) is a healthcare organization registered as a family in Germantown, Tennessee and active in the NPI registry since June 2024. The organization lists Deona Deicke, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1972345205
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINBLOOM, LLC
Location Address2095 EXETER RD STE 80318Germantown, TN 38138-3963
Mailing Address1185 Braystone TrlCollierville, TN 38017-3648
Phone(901) 245-0199
Organization SubpartNo
Authorized OfficialDeona DeickeCredentialing Manager · (203) 641-9529
Enumeration DateJune 7, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1972345205 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
2095 EXETER RD STE 80318, Germantown, TN 38138
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 44D2307455

Inbloom, LLC · Collierville, TN
Expired · Jul 8, 2026
CLIA Number44D2307455
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorAndrea E. Williams
Laboratory Phone(901) 245-0199
Laboratory LocationInbloom, LLC1185 Braystone Trail, Collierville, TN 38017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Inbloom, LLC's NPI number?

The NPI number for Inbloom, LLC is 1972345205. It was assigned to this organization in the NPPES registry on June 7, 2024.

Where is Inbloom, LLC located?

Inbloom, LLC is located at 2095 Exeter Rd Ste 80318, Germantown, TN 38138. The listed phone number is (901) 245-0199.

What is Inbloom, LLC's specialty?

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

What insurance does Inbloom, LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Inbloom, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Inbloom, LLC was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.