THE BRIDGE GROUP OF ARIZONA, LLC (NPI# 1811386287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811386287 |
| Entity Type | Organization |
| Organization Name | THE BRIDGE GROUP OF ARIZONA, LLC |
| Practice Address |
1237 S Val Vista Dr Mesa AZ 85204-6401 |
| Practice Telephone | 4807763390 |
| Practice Fax Number | 4803960532 |
| Mailing Telephone | 4807763390 |
| Mailing Fax Number | 4803960532 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | TIM WILLIS (CEO) |
| Authorized Official Telephone | 9286711750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers |
| Street Address |
1237 S VAL VISTA DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245172 | Michelle A Berman | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2006-05-24 |
| 1902440852 | Neha Bomb | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-11-04 |
| 1558902973 | Maya Schmitt | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-10-07 |
| 1538710355 | Dana Michelle Stapleton | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-09-23 |
| 1003460916 | Erika Josephine Barrera | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-07-29 |
| 1154988400 | Stephanie Jane Espinoza | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-05-22 |
| 1285192609 | Samantha Dietz Jerome | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-03-05 |
| 1487170270 | Taylor Janulewicz | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204 | 2017-08-14 |
| 1952823171 | Jeri Kendal Shanks | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204 | 2017-07-10 |
| 1841727880 | Lauren Artise | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416488 | Melissa Diane Brown | Registered Nurse | 3250 E Hermosa Vista Dr, Mesa, AZ 85213-1702 | 2019-09-12 |
| 1144621749 | Kathleen Hull | Registered Nurse | 465 E Broadway Rd Ste B, Mesa, AZ 85204-2019 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568740 | Julia Levikov | Registered Nurse | 17018 N 57th St, Scottsdale, AZ 85254-6406 | 2020-11-04 |
| 1932709656 | Samantha Ashlee Wirth | Registered Nurse | 16316 N Lasso Dr, Surprise, AZ 85374-5445 | 2020-10-30 |
| 1417554338 | Diana Valencia | Registered Nurse | 11878 W Thomas Arron Dr, Marana, AZ 85653-8033 | 2020-10-04 |
| 1558978098 | Paige Cisar | Registered Nurse | 14418 W Meeker Blvd Ste B-210, Sun City West, AZ 85375-5283 | 2020-09-29 |
| 1861004731 | Amy Ellen Watson | Registered Nurse | 3944 W Pine Creek Way, Tucson, AZ 85745-7114 | 2020-08-20 |
| 1518579044 | Haoting Pei | Registered Nurse | 3325 Kiowa Blvd S, Lake Havasu City, AZ 86404-5206 | 2020-08-17 |
| 1841817343 | Lynley Rachel Thowson | Registered Nurse | 17725 S Placita Junio, Green Valley, AZ 85614-4436 | 2020-06-30 |
| 1861028581 | Jessica H Rose | Registered Nurse | 584 E Blue Rock Way, Vail, AZ 85641-2270 | 2020-03-13 |
| 1477019628 | Aurea Plotado | Registered Nurse | 4219 W Villa Maria Dr, Glendale, AZ 85308-1716 | 2019-02-13 |
| 1114416989 | Nichole Brianna Wardle-sanford | Registered Nurse | 5868 E Kathleen Rd, Scottsdale, AZ 85254-1861 | 2018-05-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE BRIDGE GROUP OF ARIZONA, LLC.
| 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.