What is Mirabelle Blossom's NPI number?

Mirabelle Blossom's National Provider Identifier (NPI) is 1760277800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mirabelle Blossom's specialty?

Mirabelle Blossom is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Mirabelle Blossom located?

Mirabelle Blossom's practice location on file with NPPES is 3101 Lathrop St, Fairbanks, AK 99701-7426.

What is Mirabelle Blossom's phone number?

The practice phone number listed in the NPPES registry for Mirabelle Blossom is (907) 459-4700.

Is Mirabelle Blossom's NPI active?

Yes — Mirabelle Blossom's NPI (1760277800) is active in the NPPES registry as of the last update on 2025-04-10.

IndividualActive

Mirabelle Blossom

NPI 1760277800 · Community Health Worker · Fairbanks, AK

Mirabelle Blossom is a Community Health Worker provider in Fairbanks, AK (NPI 1760277800).

Provider details

NPI number: 1760277800
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3101 Lathrop St

Fairbanks, AK 99701-7426

Phone: (907) 459-4700

Fax: (907) 474-3621

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address