BRIDGETTE LEANN FENDER (NPI# 1922622505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922622505 |
| Entity Type | Individual |
| Full Name | BRIDGETTE LEANN FENDER |
| Credential | APRN |
| Practice Address |
527 N 6th St Blytheville AR 72315-2407 |
| Practice Telephone | 8707634541 |
| Practice Fax Number | 8707622390 |
| Mailing Telephone | 8707634541 |
| Mailing Fax Number | 8707622390 |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R077105 | AR | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
125837 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
527 N 6TH ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544227 | Ronald D Smith Md Pa | Family Medicine | 527 N 6th St, Blytheville, AR 72315-2407 | 2005-11-09 |
| 1144848284 | Frank E Button | Optometrist | 527 N 6th St, Blytheville, AR 72315-2407 | 2020-07-06 |
| 1457836298 | Aimee Hatch | Nurse Practitioner | 527 N 6th St, Blytheville, AR 72315-2407 | 2018-09-27 |
| 1336692623 | Jennifer Eunice Anderson Connell | Optometrist | 527 N 6th St, Blytheville, AR 72315-2407 | 2016-08-03 |
| 1144468679 | Matthew Edgar Jones | Optometrist | 527 N 6th St, Suite A, Blytheville, AR 72315-2407 | 2009-01-21 |
| 1356550230 | James D.dye,m.d.,p.a. | Family Medicine | 527 N 6th St, Blytheville, AR 72315-2407 | 2007-05-21 |
| 1275572380 | Ronald D Smith | Family Medicine | 527 N 6th St, Blytheville, AR 72315-2407 | 2006-06-05 |
| 1295781987 | James David Dye | Emergency Medicine | 527 N 6th St, Blytheville, AR 72315-2407 | 2006-05-25 |
| 1912988577 | R Dean Gurley | Optometrist | 527 N 6th St, Suite A, Blytheville, AR 72315-2407 | 2005-11-10 |
| 1477534956 | James David Dye Md Pa | Family Medicine | 527 N 6th St, Blytheville, AR 72315-2407 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547003 | Rose Mary Nichols | Nurse Practitioner | 1400 N Division St, Blytheville, AR 72315-1438 | 2019-09-19 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1144563073 | Katherine A Gurley | Nurse Practitioner | 1001 N 6th St, Blytheville, AR 72315-1707 | 2013-03-28 |
| 1861744773 | Laura Marie Weatherford | Nurse Practitioner | 1100 Medical Dr Ste C, Blytheville, AR 72315-2437 | 2012-10-03 |
| 1245870989 | Rachael Chandler | Nurse Practitioner | 1100 Medical Dr, Blytheville, AR 72315-1425 | 2020-01-10 |
| 1568000503 | Chasity Shavon Campbell | Nurse Practitioner | 1521 N 10th St Ste A, Blytheville, AR 72315-1424 | 2019-12-19 |
| 1396117453 | Peggy Darty | Nurse Practitioner | 1100 Medical Dr, Blytheville, AR 72315-1425 | 2015-10-28 |
| 1720402464 | Connie Kay Ash | Nurse Practitioner | 1521 N 10th St, Suite C, Blytheville, AR 72315-1405 | 2014-02-18 |
| 1558594424 | Valerie Denene Woodruff | Nurse Practitioner | 1521 N 10th St Ste F, Blytheville, AR 72315-1424 | 2009-08-26 |
| 1114096963 | Christopher L Surratt | Nurse Practitioner | 1100 Medical Dr, Suite D, Blytheville, AR 72315-1425 | 2006-11-07 |
| Find all providers in BLYTHEVILLE | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
Please comment or provide details below to improve the information on BRIDGETTE LEANN FENDER.
| 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.