BRIDGET COLETTE JOHNSON ARNP NPI 1235236852

NPI Information

NPI: 1235236852
Provider Name: BRIDGET COLETTE JOHNSON, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PREMIER MEDICAL GROUP PSC

PECOS Registration: Yes

Address:
507 EAST PARRISH AVE
OWENSBORO, KY
ZIP 42303
Phone: (270) 852-9355
Get Directions

Bridget Colette Johnson, ARNP is a family nurse practitioner in Owensboro, KY with 19 years of experience. Bridget Colette Johnson, ARNP NPI is 1235236852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

507 EAST PARRISH AVE
OWENSBORO, KY
ZIP 42303
Phone: (270) 852-9355
Fax: (270) 852-1870

The NPI 1235236852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 8/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3004698P	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0396851	MEDICARE PIN
2	Q56463	MEDICARE UPIN
3	P00642955	MEDICARE PIN	KENTUCKY
4	000000384686	OTHER		BCBS PROVIDER NUMBER
5	4698P	OTHER	KENTUCKY	LICENSE
6	78015393	MEDICAID	KENTUCKY
7	0903658	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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