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Bloom Mental Health and Wellness Clinic

NPI 1487405460ActiveOrganization· Nurse Practitioner· Oklahoma City, OK

Nurse Practitioner in Oklahoma City, Oklahoma, registered in NPPES in March 2024. The authorized official on file is Sheridan Clark, APRN, Owner/ Aprn.

Overview

NPI1487405460
StatusActive
Entity typeOrganization
NPI issuedMar 28, 2024
Last updated in NPPESMar 28, 2024
Certified by providerMar 28, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in Oklahoma City

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