Provider Demographics
NPI:1225842859
Name:BLOOMQUIST, TRICIA LEIGH
Entity type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:LEIGH
Last Name:BLOOMQUIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-6311
Mailing Address - Country:US
Mailing Address - Phone:402-270-4844
Mailing Address - Fax:
Practice Address - Street 1:3014 EAGLE LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-6311
Practice Address - Country:US
Practice Address - Phone:402-270-4844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion