BABY BLOSSOM PEDIATRCS – NPI #1306714118
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

BABY BLOSSOM PEDIATRCS is a provider located in WEST BRANCH, MI. NPPES has assigned the NPI number 1306714118 to BABY BLOSSOM PEDIATRCS on October 24, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BABY BLOSSOM PEDIATRCS below.

NPI Profile for
BABY BLOSSOM PEDIATRCS

NPI Number
1306714118
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BABY BLOSSOM PEDIATRCS
Primary location
2463 S M 30
WEST BRANCH, MI 48661-9312
Phone: (989) 345-3660 Fax:
1 Other location(s):
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone: (269) 226-7000
Mailing address
2172 W NINE MILE RD # 230
PENSACOLA, FL 32534-9413
Phone: Fax:
Organization Subpart
No
Authorized Official
DANIELLE WALLACE
OWNER/PEDIATRICIAN
Phone: (616) 585-9897
Updated
Certification Date
Oct 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.