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

Johnnie Bloom, LPN

Individual provider Licensed Practical Nurse · NPI 1659456952

Johnnie Bloom, LPN is a Licensed Practical Nurse in Somerville, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

260 Beacon St
Somerville, MA 02143-3534
Phone: (617) 661-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 53794 (MA)

Record details

NPI number1659456952
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address260 Beacon St, Somerville, MA 02143-3534

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