BRIDGES HABILITATION SERVICES INC. (NPI# 1245305804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245305804 |
| Entity Type | Organization |
| Organization Name | BRIDGES HABILITATION SERVICES INC. |
| Other Organization Name | BRIDGES |
| Practice Address |
100 Bear River Dr Evanston WY 82930-2804 |
| Mailing Address |
Po Box 1642 Evanston WY 82931-1642 |
| Practice Telephone | 3077890664 |
| Practice Fax Number | 3077891902 |
| Mailing Telephone | 3077890664 |
| Mailing Fax Number | 3077891902 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID M. CANEN (CEO) |
| Authorized Official Telephone | 3077890664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133V00000X | Dietitian, Registered | WY | Dietary & Nutritional Service Providers | |
| X | 163W00000X | Registered Nurse | WY | Nursing Service Providers | |
| X | 251B00000X | Case Management | WY | Agencies | |
| X | 251C00000X | Day Training, Developmentally Disabled Services | WY | Agencies | |
| X | 251J00000X | Nursing Care | WY | Agencies | |
| X | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
WY | Ambulatory Health Care Facilities | |
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | WY | Residential Treatment Facilities | |
| X | 332900000X | Non-Pharmacy Dispensing Site | WY | Suppliers | |
| X | 385H00000X | Respite Care | WY | Respite Care Facility | |
| X | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
WY | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Bridges | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740518133 | Bridges Habilitation Services Inc. | In Home Supportive Care | 1425 Highway 150 S, Ste 2, Evanston, WY 82930-5377 | 2009-11-24 |
| Street Address |
100 BEAR RIVER DR |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558798942 | Heather E Raimondo-o'brien | Case Manager/Care Coordinator | 100 Bear River Dr, Evanston, WY 82930-2804 | 2013-10-01 |
| 1497094262 | Mathew Redge Flake | Case Manager/Care Coordinator | 100 Bear River Dr, Evanston, WY 82930-2804 | 2013-02-13 |
| 1093042798 | G. Kay Jessen | Case Manager/Care Coordinator | 100 Bear River Dr, Evanston, WY 82930-2804 | 2009-11-17 |
| 1538496336 | Kristin Lee Hopkin | Case Manager/Care Coordinator | 100 Bear River Dr, Evanston, WY 82930-2804 | 2009-11-16 |
| 1861729667 | David Canen | Case Manager/Care Coordinator | 100 Bear River Dr, Evanston, WY 82930-2804 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
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| 1053941112 | Lakeside Digestion Pllc | Dietitian, Registered | 501 Sherman Ave, Evanston, IL 60202-2815 | 2020-01-16 |
| 1073150678 | Allison Wall | Dietitian, Registered | 1011 Ashland Ave Fl 2, Evanston, IL 60202-1138 | 2019-12-03 |
| 1215376918 | An Apple A Day Nutrition, Inc. | Dietitian, Registered | 1324 1/2 Forest Ave, Evanston, IL 60201-4791 | 2013-06-17 |
| 1770784027 | Suzanne Elizabeth Leland-lym | Dietitian, Registered | 25 Pleasant View St, Evanston, WY 82930-9510 | 2007-05-31 |
| 1821207663 | Uchenna Genevieve Ohajunwa | Dietitian, Registered | Evanston Northwestern Healthcare, 2650 Ridge Avenue, Evanston, IL 60201 | 2007-05-21 |
| 1033242136 | Merle Rose Shapera | Dietitian, Registered | 1572 Maple Avenue, Unit 604, Evanston, IL 60201 | 2007-03-14 |
| 1760081673 | Lauren Elizabeth Todorova | Dietitian, Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-21 |
| 1861000994 | Alisa Oler | Dietitian, Registered | 9437 Harding Ave, Evanston, IL 60203-1322 | 2020-07-15 |
| 1295375343 | Kelsey Bencze | Dietitian, Registered | 2255 Campus Dr, Evanston, IL 60201 | 2020-01-07 |
| 1245798867 | Alicia Kazarian | Dietitian, Registered | 1603 Orrington Ave Ste 600, Evanston, IL 60201-3860 | 2019-03-04 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.