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

Kathleen Rockholt Bloom, NP

Individual provider Nurse Practitioner · NPI 1164948022

Kathleen Rockholt Bloom, NP is a Nurse Practitioner in Concord, North Carolina. Qualified in 2017, 9 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 Medical Park Dr Ste 210
Concord, NC 28025-2948
Phone: (704) 403-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1349
  • 1550 Faulk St, Monroe, NC 28112-5086 — (704) 667-3410

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5009862 (NC)

Record details

NPI number1164948022
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESJuly 23, 2024
Certification dateApril 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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