{"npi":"1558205203","type":"NPI-2","status":"active","name":{"display":"Full Bloom Functional Health LLC","other":[],"organization_name":"FULL BLOOM FUNCTIONAL HEALTH LLC","authorised_official":"Shaina Labonte"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1207 S MAIN ST STE 1","city":"PALMER","state":"MA","postal_code":"010691897","country_code":"US","phone":"4132002808"},{"purpose":"MAILING","street_1":"1207 S MAIN ST STE 1","city":"PALMER","state":"MA","postal_code":"010691897","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2026-04-15","last_updated":"2026-04-15","_meta":{"source":"NPPES","snapshot_date":"2026-04-15","doc_url":"https://findmynpi.com/api"}}