MEDICARE: BLUME FLEUR FLOWER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	202D00000X	Integrative Medicine Physician
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician
3	2084P0804X	Child & Adolescent Psychiatry Physician
4	251300000X	Local Education Agency (LEA)
5	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538018734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUME FLEUR FLOWER

Provider Business Mailing Address
First Line	:	10109 PALISADE RIDGE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1492
Country	:	US
Telephone Number	:	719-334-1201
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 N MAIN ST STE 530
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-3179
Country	:	US
Telephone Number	:	719-334-1201
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CLINICAL PROVIDER
Name	:	MELANIE F SANDOVAL
Credential	:	PHD, PMHNP-BC
Telephone Number	:	719-334-1201

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “BLUME FLEUR FLOWER ” Practice Location

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