GINA BRIDGE (NPI# 1336635903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336635903 |
| Entity Type | Individual |
| Full Name | GINA BRIDGE |
| Credential | RN |
| Practice Address |
1320 Washington Ave Cleveland OH 44113-2333 |
| Practice Telephone | 2167810550 |
| Mailing Telephone | 2167810550 |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2018-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
355203 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OBN | 355203 | 01 |
| Street Address |
1320 WASHINGTON AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669494274 | Stella Maris, Inc. | Rehabilitation, Substance Use Disorder Unit | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2006-07-24 |
| 1912514142 | Sandra Celina Blandon | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-10-01 |
| 1083221212 | Antoinette Marie Whitticar | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-10-01 |
| 1073130993 | David Villa | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-06-26 |
| 1144855644 | Regina Titus | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-03-05 |
| 1750911376 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-01-23 |
| 1750923926 | Mark Dillard | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-10-09 |
| 1174182919 | Michael Joseph Mazur | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-06-06 |
| 1013575919 | Regina Edmondson | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-06-05 |
| 1780145276 | Sarah Davis | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415102 | Courtney Nicole Camel | Registered Nurse | 1127 Carnegie Ave, Cleveland, OH 44115-2805 | 2020-07-24 |
| 1174182919 | Michael Joseph Mazur | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-06-06 |
| 1780145276 | Sarah Davis | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-03-27 |
| 1982190559 | Aleah Neewilly | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2018-07-07 |
| 1659874386 | Youstina Soliman | Registered Nurse | 4500 Euclid Ave, Cleveland, OH 44103-3736 | 2018-03-08 |
| 1184137309 | Margaret King | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2017-11-09 |
| 1649709973 | Roseann Jamieson | Registered Nurse | 1127 Carnegie Ave, Cleveland, OH 44115-2805 | 2017-06-09 |
| 1598293151 | Peggy Ann Marcus | Registered Nurse | 1127 Carnegie Ave, Cleveland, OH 44115-2805 | 2017-05-26 |
| 1710415377 | Rosie J Wright | Registered Nurse | 1127 Carnegie Ave, Cleveland, OH 44115-2805 | 2017-05-26 |
| 1124554522 | Christine Sherman | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2017-05-04 |
| Find all providers in CLEVELAND | ||||
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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.