BRIDGETTE TAYLOR (NPI# 1366070047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366070047 |
| Entity Type | Individual |
| Full Name | BRIDGETTE TAYLOR |
| Credential | LPN |
| Practice Address |
9396 Fairfield Pkwy Jonesboro GA 30236-7408 |
| Practice Telephone | 7702994625 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN081854 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386057156 | Bridgette Taylor | Social Worker | 3080 W Lake Ave, Glenview, IL 60026-1210 | 2014-06-09 |
| Street Address |
9396 FAIRFIELD PKWY |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578909503 | Naniek Simpson | Licensed Practical Nurse | 701 Mount Zion Rd, Apt 1902, Jonesboro, GA 30236-1533 | 2013-05-16 |
| 1013103654 | Bianca Marie Webb | Licensed Practical Nurse | 711 Lakeview Way, Jonesboro, GA 30238-5661 | 2007-09-18 |
| 1760524466 | Crystal D Guevara | Licensed Practical Nurse | 262 Southwest Dr, Jonesboro, AR 72401-5829 | 2007-02-12 |
| 1407461445 | Kathryn Taylor | Licensed Practical Nurse | 3700 Access Rd, Jonesboro, AR 72401-8225 | 2020-09-15 |
| 1578100574 | Christopher Scott Hodges | Licensed Practical Nurse | 3700 Access Rd, Jonesboro, AR 72401-8225 | 2019-12-09 |
| 1508401829 | Karmen Marie Esquivel | Licensed Practical Nurse | 3700 Access Rd, Jonesboro, AR 72401-8225 | 2019-11-11 |
| 1891338513 | Lauren Gayle Smith | Licensed Practical Nurse | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-10-25 |
| 1437791290 | Sarah K Gillis | Licensed Practical Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-14 |
| 1578105755 | Megan Brooke Bass | Licensed Practical Nurse | 3700 Access Rd, Jonesboro, AR 72401-8225 | 2019-10-09 |
| 1073162368 | Mandi Lyn Fair | Licensed Practical Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2019-09-09 |
| Find all providers in JONESBORO | ||||
Please comment or provide details below to improve the information on BRIDGETTE TAYLOR.
| 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.