BABY BLOOM LLC — NPI 1114686516 (Licensed & Credentialed Doula in NEWPORT, RI)

CMS-1500 Box 24J / 33a • NPI

1114686516

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

374J00000X

Licensed & Credentialed Doula

Box 32 Service Location & ZIP+4

43 WARNER ST, NEWPORT, RI, 02840-2042

✓ 9-Digit EDI 837 ZIP+4 (02840-2042)

Practice Phone & Referral Fax

(954) 802-2285

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114686516 (BABY BLOOM LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114686516` (NPI-2 Organization / Facility)
Provider / Legal Name	BABY BLOOM LLC
Plain-English Specialty	Licensed & Credentialed Doula NUCC Code: `374J00000X` (Doula)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	43 WARNER ST, NEWPORT, RI, 02840-2042
Practice Telephone / Fax	Tel: (954) 802-2285
Administrative Mailing Address	43 WARNER ST, NEWPORT, RI, 02840-2042
Enumeration & Last Sync	Enumerated: 2021-12-13 \| CMS Record Updated: 2023-09-08
Authorized Official	TYLER GRIMES (Doula)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

43 WARNER ST, NEWPORT, RI, 02840-2042

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Plain-English Taxonomy & CMS Crosswalk (374J00000X)

What Does Taxonomy Code 374J00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374J00000X translates to:
"Licensed & Credentialed Doula"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Doula for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BABY BLOOM LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174200000X` — Meals Plain English: Licensed & Credentialed Meals	State: N/A \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`376J00000X` — Homemaker Plain English: Licensed & Credentialed Homemaker	State: N/A \| License: `Verified` \| Primary: Secondary
`374J00000X` — Doula Plain English: Licensed & Credentialed Doula	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BABY BLOOM LLC (NPI #1114686516)