KRISTINA ANN BRIDGENS (NPI# 1427697788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427697788 |
| Entity Type | Individual |
| Full Name | KRISTINA ANN BRIDGENS |
| Practice Address |
1916 Clermont Ave Ne Warren OH 44483-3524 |
| Mailing Address |
3637 Green Rd Ste 3g Beachwood OH 44122-5717 |
| Practice Telephone | 3306017283 |
| Mailing Telephone | 2162208774 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1916 CLERMONT AVE NE |
| City | WARREN |
| State | OH |
| Zip Code | 44483-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760493 | Laura Maria Devengencie | Peer Specialist | 3003 Halsey Dr Ne, Warren, OH 44483-5611 | 2020-08-13 |
| 1114545480 | Cory Lee Wright | Peer Specialist | 419 North St Nw, Warren, OH 44483-3721 | 2020-07-13 |
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1265068498 | Jack E Wolff | Peer Specialist | 2934 Carlton Dr Nw, Warren, OH 44485-1220 | 2020-03-19 |
| 1508404682 | Jerry Silhan | Peer Specialist | 730 Paige Ave Ne, Warren, OH 44483-4951 | 2019-12-19 |
| 1043852759 | Cody A Wright | Peer Specialist | 2307 Central Parkway Ave Se, Warren, OH 44484-5240 | 2019-10-14 |
| 1225638208 | Quiana Dodson | Peer Specialist | 552 N Park Ave, Warren, OH 44481-1117 | 2020-10-28 |
| 1174157507 | Angela Olivo | Peer Specialist | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-02-25 |
| 1336782044 | Anna Lacy | Peer Specialist | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2019-10-25 |
| 1619510526 | Jarreth Ackerman | Peer Specialist | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2019-10-23 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on KRISTINA ANN BRIDGENS.
| 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.