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BRIDGES HABILITATION SERVICES INC. NPI 1245305804


NPI Information

NPI: 1245305804
Provider Name: BRIDGES HABILITATION SERVICES INC.

Other Name: BRIDGES

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
100 BEAR RIVER DR
EVANSTON, WY
ZIP 82930
Phone: (307) 789-0664
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BRIDGES HABILITATION SERVICES INC. is a dietitian registered in Evanston, WY. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. BRIDGES HABILITATION SERVICES INC. NPI is 1245305804. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bridges.

The provider's business location address is:

100 BEAR RIVER DR
EVANSTON, WY
ZIP 82930-804
Phone: (307) 789-0664
Fax: (307) 789-1902

The provider's authorized official is David M. Canen .
The authorized official title is Ceo and has the following contact phone number (307) 789-0664.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredWYOMINGYes
2163W00000XRegistered NurseWYOMINGX
3251B00000XCase ManagementWYOMINGX
4251C00000XDay Training, Developmentally Disabled ServicesWYOMINGX
5251J00000XNursing CareWYOMINGX
6261QD1600XClinic/CenterDevelopmental DisabilitiesWYOMINGX
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesWYOMINGX
8332900000XNon-Pharmacy Dispensing SiteWYOMINGX
9385H00000XRespite CareWYOMINGX
10385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesWYOMINGX

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: 4/28/2024

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