Neurobloom PLLC · Nurse Practitioner

4810 N County Road 2800, Lubbock, TX 79403-7297

Overview

Neurobloom PLLC is a Nurse Practitioner (organization) practicing in Lubbock, Texas. The National Provider Identifier (NPI) is #1396623708, which was assigned on August 25, 2025, and the registration record was last updated on August 25, 2025. The practitioner's main practice location is at 4810 N County Road 2800, Lubbock, TX 79403-7297; the contact telephone number is 8062230016, and the fax number is 8062301604. The primary taxonomy of Neurobloom PLLC is Nurse Practitioner (363L00000X). The authorized official for Neurobloom PLLC is Patricia Perez (Owner, Family Nurse Practitioner).

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Information

NPI 1396623708
Entity Type Organization
Organization Name NEUROBLOOM PLLC
Provider Name NEUROBLOOM PLLC
Practice Address 4810 N County Road 2800
Lubbock
TX 79403-7297
Practice Telephone 8062230016
Practice Fax Number 8062301604
Mailing Address 4810 N County Road 2800
Lubbock
TX 79403-7297
Mailing Telephone 8062230016
Mailing Fax Number 8062301604
Certification Date 2025-08-24
Enumeration Date 2025-08-25
Last Update Date 2025-08-25
Is Organization Subpart N

Authorized Official Information

Official Name PATRICIA PEREZ
Official Title OWNER, FAMILY NURSE PRACTITIONER
Credential MSN, APRN, FNP-BC
Telephone 8062230016

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363L00000XNurse Practitioner193400000X SINGLE SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Patricia Perez MSN, APRN, FNP-BCDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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Location Information

Street Address 4810 N COUNTY ROAD 2800
City LUBBOCK
State TX
Zip Code 79403-7297
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Alaina Kathryn Phillips · Katy Phillips 4810 N County Road 2800, Lubbock, TX 79403-7297Social Worker2023-12-12
Texas Girls and Boys Ranch 4810 N County Road 2800, Lubbock, TX 79403-7297Mental Health Counselor2007-08-08
Kendra Jones 4810 N County Road 2800, Lubbock, TX 79403-7297Professional Counselor2015-01-08
Shalana Jacobi 4810 N County Road 2800, Lubbock, TX 79403-7297Professional Counselor2012-04-19
Jeremy Walker 4810 N County Road 2800, Lubbock, TX 79403-7297Professional Counselor2025-09-08
Robertah Rodriguez 4810 N County Road 2800, Lubbock, TX 79403-7297Mental Health Counselor2025-09-08
Wiliiam David Boyles 4810 N County Road 2800, Lubbock, TX 79403-7297Professional Counselor2020-10-20
John Sigle 4810 N County Road 2800, Lubbock, TX 79403-7297Professional Counselor2007-08-09
Kristen Michelle Meeks · Kristen Michelle Hanselman 4810 N County Road 2800, Lubbock, TX 79403-7297Clinical Social Worker2024-09-12
Patricia Ann Perez 4810 N County Road 2800, Lubbock, TX 79403-7297Family Nurse Practitioner2009-12-01
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.