BRIDGETT MICHELLE JOHNSON APRN NPI 1629580519

NPI Information

NPI: 1629580519
Provider Name: BRIDGETT MICHELLE JOHNSON, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
306 NW BETHANY DR
PORT SAINT LUCIE, FL
ZIP 34986
Phone: (772) 345-1111
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Bridgett Michelle Johnson, APRN is a gerontology nurse practitioner in Port Saint Lucie, FL with 3 years of experience. Bridgett Michelle Johnson, APRN NPI is 1629580519. 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:

306 NW BETHANY DR
PORT SAINT LUCIE, FL
ZIP 34986
Phone: (772) 345-1111
Fax: (772) 345-2222

The NPI 1629580519 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 10/31/2017 and was last updated on 12/18/2023.

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	163W00000X	Registered Nurse		9382157	FLORIDA	No
2	363L00000X	Nurse Practitioner		74494	NEW MEXICO	No
3	363LA2200X	Nurse Practitioner	Adult Health	310606	NEW YORK	No
4	363LG0600X	Nurse Practitioner	Gerontology	26NJ14875500	NEW JERSEY	No
5	363LP2300X	Nurse Practitioner	Primary Care	95020396	CALIFORNIA	No
6	363LP2300X	Nurse Practitioner	Primary Care	1057450	TEXAS	No
7	363LP2300X	Nurse Practitioner	Primary Care	11015365	FLORIDA	No
8	363LG0600X	Nurse Practitioner	Gerontology	74494	NEW MEXICO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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