DR. PATRICIA E BRIDGEWATER (NPI# 1356426308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356426308 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA E BRIDGEWATER |
| Credential | PSY.D. |
| Practice Address |
1819 West Austin, Suite C Nevada MO 64772-2202 |
| Mailing Address |
1819 W Austin Blvd Ste C Po Box 177 Nevada MO 64772-3708 |
| Practice Telephone | 4172836151 |
| Practice Fax Number | 4172836152 |
| Mailing Telephone | 4172836151 |
| Mailing Fax Number | 4172836152 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301011168 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1999140492 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 494768302 | 05 |
| Street Address |
1819 WEST AUSTIN, SUITE C |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659625937 | Wellness Company Vii | Psychologist | 1819 W Austin Blvd Ste C, Nevada, MO 64772-3708 | 2012-11-07 |
| 1346310356 | Carolyn Karr | Psychologist | 1819 West. Austin, Suite C, Nevada, MO 64772-2202 | 2006-11-08 |
| 1902880412 | Holly B Chatain | Psychologist | 100 S Prewitt St, Nevada, MO 64772-1760 | 2005-11-30 |
| 1740264241 | Christopher J Carlin | Psychologist | 101 N Commercial St, Nevada, MO 64772-2607 | 2005-11-30 |
| 1033101613 | Robert Jeffery Mitchell Sr. | Psychologist | 319 N Osage Blvd, Nevada, MO 64772-2636 | 2005-08-18 |
| 1609119957 | Cody Lee Bond | Psychologist | 320 Mac Blvd, Nevada, MO 64772 | 2013-04-04 |
| 1922358613 | Brett Christopher Miller | Psychologist | 320 Mac Blvd, Nevada, MO 64772-3990 | 2012-09-11 |
| 1265735294 | Psylin, Inc. | Psychologist | 101 N Commercial St, Nevada, MO 64772-2607 | 2010-12-14 |
| 1710062757 | Sharon West Lansing | Psychologist | 300 W Cherry St, Nevada, MO 64772-2202 | 2006-10-26 |
| 1053496042 | Robert Ingegneri | Psychologist | 300 W Cherry St, Nevada, MO 64772-2202 | 2006-10-26 |
| Find all providers in NEVADA | ||||
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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.