BRIDGETT ELAINE EDWARDS (NPI# 1487104501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487104501 |
| Entity Type | Individual |
| Full Name | BRIDGETT ELAINE EDWARDS |
| Credential | APRN |
| Practice Address |
919 53rd Ave E Bradenton FL 34203-4801 |
| Practice Telephone | 9417518100 |
| Practice Fax Number | 8445601119 |
| Mailing Telephone | 9417518100 |
| Mailing Fax Number | 8445601119 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2019-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9234081 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6326 15th St E, Sarasota, FL 342433201 | 9419002701 | 9419002704 |
| Street Address |
919 53RD AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081573 | Tammy Sue Cerniglia | Nurse Practitioner | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2005-05-24 |
| 1295383768 | Mcr Health, Inc. | Clinic/Center | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2019-08-28 |
| 1487007100 | Mcr Health, Inc. | Clinic/Center | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2016-07-18 |
| 1629350871 | Elizabeth Ortiz-gonzalez | Internal Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2011-09-14 |
| 1164756334 | Nirmala Kishun-jit | Internal Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2009-09-21 |
| 1972523496 | Loraine F Konrady | Nurse Practitioner | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-07-20 |
| 1295769362 | Mcr Health, Inc. | Durable Medical Equipment & Medical Supplies | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-07-11 |
| 1396775219 | Mcr Health, Inc. | Internal Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-07-04 |
| 1376583682 | George Darren Malone | Pharmacist | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-06-07 |
| 1376510933 | Robert Wayne Brochu | Family Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1639604556 | Jodie Lynn Dodge | Nurse Practitioner | 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 | 2017-04-28 |
| Find all providers in BRADENTON | ||||
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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.