MR. KENNETH R BRIDGES (NPI# 1689848624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689848624 |
| Entity Type | Individual |
| Full Name | MR. KENNETH R BRIDGES |
| Credential | NP |
| Practice Address |
7130 Bell St Amarillo TX 79109-7003 |
| Practice Telephone | 8063734010 |
| Practice Fax Number | 8063316373 |
| Mailing Telephone | 8063734010 |
| Mailing Fax Number | 8063316373 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
629915 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437144870 | Kenneth G Bridges | Surgery | 2402 Frist Blvd, Suite 203, Fort Pierce, FL 34950-4838 | 2005-09-13 |
| 1083744684 | Kenneth R Bridges | Internal Medicine | 65 Landsdowne St, Cambridge, MA 02139-4232 | 2007-03-06 |
| Street Address |
7130 BELL ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162987 | Wilhelmina Berlinda Williams | Nurse Practitioner | 7130 Bell St, Amarillo, TX 79109-7003 | 2005-05-31 |
| 1568004943 | Health Choice Md Pllc | General Practice | 7130 Bell St, Amarillo, TX 79109-7003 | 2019-10-17 |
| 1861973968 | Belinda Diaz | Nurse Practitioner | 7130 Bell St, Amarillo, TX 79109-7003 | 2018-08-27 |
| 1710490180 | C&t Med, LLC | Family Medicine | 7130 Bell St, Amarillo, TX 79109-7003 | 2017-11-08 |
| 1932640091 | Maricella Strowd | Nurse Practitioner | 7130 Bell St, Amarillo, TX 79109-7003 | 2017-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229629 | Donna Jeannette Mccauley | Nurse Practitioner | 7407 Imperial Dr, Amarillo, TX 79121-1429 | 2020-09-10 |
| 1902414998 | Sarah Jane Fisk | Nurse Practitioner | 1901 Medi Park Dr Ste 103, Amarillo, TX 79106-2106 | 2020-07-16 |
| 1801410063 | Jeannette Sandoval | Nurse Practitioner | 2329 Ross Osage, Amarillo, TX 79103-3000 | 2020-06-03 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1225679400 | Wendy Dawn Guest | Nurse Practitioner | 7716 Pinnacle Dr, Amarillo, TX 79119-7494 | 2019-09-30 |
| 1326609835 | Chelsea Beth Stevens | Nurse Practitioner | 609 S Carolina St, Amarillo, TX 79106-8721 | 2019-06-25 |
| 1184187759 | Lauren Altendorf | Nurse Practitioner | 3501 S Soncy Rd Ste 110, Amarillo, TX 79119-6405 | 2019-04-10 |
| 1851853311 | Sandra Renee Morris Boyd | Nurse Practitioner | 20001 Wind River Dr, Amarillo, TX 79124-1682 | 2019-04-03 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1609349042 | Sarah Price | Nurse Practitioner | 5109 Navajo Trl, Amarillo, TX 79110-4635 | 2019-01-08 |
| Find all providers in AMARILLO | ||||
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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.