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BLOOM HEALTHCARE
NPI 1982175311
Internal Medicine in Wheat Ridge, CO

Active since December 11, 2018CLIA 06D2311994 · Waiver
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033(303) 993-1330 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 27, 2019, Jan 18, 2019, Dec 11, 2018 (3 updates tracked since 2018).

About Bloom Healthcare NPPES

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

BLOOM HEALTHCARE (NPI 1982175311) is a healthcare organization registered as an internal medicine in Wheat Ridge, Colorado and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Debra K Wadelton, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1982175311
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLOOM HEALTHCARE
Location Address10900 W 44TH AVE UNIT 200Wheat Ridge, CO 80033-2742
Mailing Address10900 W 44th Ave Unit 200Wheat Ridge, CO 80033-2742 · (303) 993-1330
Phone(303) 993-1330
Organization SubpartNo
Authorized OfficialDebra K WadeltonRevenue Cycle Manager · (303) 993-1330
Enumeration DateDecember 11, 2018
Last NPPES UpdateNovember 27, 20193 updates tracked since enumeration
✔ NPI 1982175311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10900 W 44TH AVE UNIT 200, Wheat Ridge, CO 80033
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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

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 06D2311994

Bloom Healthcare · Lakewood, CO
Active · expires Oct 1, 2026
CLIA Number06D2311994
Laboratory TypeHome Based Primary
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorDanielle A. Whitacre
Laboratory Phone(303) 993-1330
Laboratory LocationBloom Healthcare12600 W Colfax Ave, Suite B-200, Lakewood, CO 80215
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 20

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

EMILY CLARE KUBOVIC FNP-C
Nurse Practitioner (Family)
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330
BIJORI CHANDA DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330
EMMA ANN HUMPHREY PA-C
Physician Assistant (Medical)
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330
MRS. KAYLEIGH ANN ENGEN PA-C
Physician Assistant
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330
KYLE WILLIAM MUELLER DNP, APRN, A-GNP-C
Nurse Practitioner (Gerontology)
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330
JENNY ALLGIRE AGNP
Nurse Practitioner
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330
MS. ANGELA T PETKOFF NP
Nurse Practitioner
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330
JULU WAGLE
Nurse Practitioner
10900 W 44TH AVE UNIT 200
WHEAT RIDGE, CO 80033
Jefferson County (303) 993-1330

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 Bloom Healthcare's NPI number?

The NPI number for Bloom Healthcare is 1982175311. It was assigned to this organization in the NPPES registry on December 11, 2018.

Where is Bloom Healthcare located?

Bloom Healthcare is located at 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033. The listed phone number is (303) 993-1330.

What is Bloom Healthcare's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bloom Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2311994) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bloom Healthcare was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.