LAURA BRIDGE (NPI# 1053765115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053765115 |
| Entity Type | Individual |
| Full Name | LAURA BRIDGE |
| Practice Address |
2127 Lakeview Cir Pittsburg CA 94565 |
| Mailing Address |
2127 Lakeview Cir Pittsburg CA 94565-4253 |
| Practice Telephone | 9086721808 |
| Mailing Telephone | 9086721808 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952625295 | Laura Marie Bridge | Internal Medicine | Usaf School of Aerospace Medicine, 2510 Fifth St, Bldg 840, Wright-patterson Afb, OH 45433-7913 | 2010-03-15 |
| Street Address |
2127 LAKEVIEW CIR |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959173 | Kaitlin Dougherty | Student in an Organized Health Care Education/Training Program | 163 Alturas Ave, Pittsburg, CA 94565-5883 | 2020-10-14 |
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1952837213 | Peter William Zak | Student in an Organized Health Care Education/Training Program | 1400 Locus St, Ermire Suite 6511, Pittsburg, PA 15213 | 2017-05-05 |
| 1093160897 | Yahanna Torres | Student in an Organized Health Care Education/Training Program | Upmc Montefiore, 3459 Fifth Avenue, 9 South, Pittsburg, PA 15213 | 2016-04-29 |
| 1740644988 | Monica Schointuch | Student in an Organized Health Care Education/Training Program | 3600 Forbes Avenue Forbes Tower-plaza Level Suite 140, Pittsburg, PA 15213 | 2016-04-13 |
| 1356717813 | Marcus Martinez | Student in an Organized Health Care Education/Training Program | 2221 Alderbrook Way, Pittsburg, CA 94565-7306 | 2015-08-18 |
| 1992031629 | Ilke Kadioglu | Student in an Organized Health Care Education/Training Program | 555 School St # 94565, Pittsburg, CA 94565-3937 | 2009-10-30 |
| 1528224805 | Emily Anne Anderson | Student in an Organized Health Care Education/Training Program | 555 School Street, Pittsburg, CA 94565-2853 | 2008-08-06 |
| Find all providers in PITTSBURG | ||||
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| 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.