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Bloom Pediatrics, Pllc

Pediatric Nurse Practitioner in Callahan, FL · enumerated 2026 · authorized official Jessica Raines, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104760537

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Registry record

Entity type Organization (Type 2)
Legal business name Bloom Pediatrics, Pllc
Practice address 542194 Us Highway 1, Callahan, FL, 32011
Phone (904) 675-3076
Enumeration date Apr 16, 2026
Last updated in NPPES Apr 16, 2026

Taxonomy & classification

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Jessica Raines
Title Owner
Phone (904) 675-3076

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Bloom Pediatrics, Pllc?
NPPES lists Jessica Raines (Owner) as the authorized official for this organization.
What is the NPI number for Bloom Pediatrics, Pllc?
The NPI for Bloom Pediatrics, Pllc is 1104760537, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-16.