Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Pediatric Therapy

Organization Lactation Consultant (Non-RN) · NPI 1831894815

Bloom Pediatric Therapy is a Lactation Consultant (Non-RN) in Mount Juliet, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4

Practice location Address checks out

2730 N Mount Juliet Rd
Mount Juliet, TN 37122-8018
Phone: (615) 208-4849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X
Occupational Therapist Taxonomy 225X00000X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X

Record details

NPI number1831894815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelcy Bonham — Owner · (615) 208-4849
NPI enumeratedMarch 31, 2023
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address2730 N Mount Juliet Rd, Mount Juliet, TN 37122-8018