Provider Demographics
NPI:1164396958
Name:BLOOMING BABIES LLC
Entity type:Organization
Organization Name:BLOOMING BABIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA, LACTATION COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:CD, PCD, CLC
Authorized Official - Phone:563-219-2190
Mailing Address - Street 1:556 34TH AVE N
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-1581
Mailing Address - Country:US
Mailing Address - Phone:563-219-2190
Mailing Address - Fax:
Practice Address - Street 1:556 34TH AVE N
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-1581
Practice Address - Country:US
Practice Address - Phone:563-219-2190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty