MRS. BRIDGETT MOORE GANT (NPI# 1790135747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790135747 |
| Entity Type | Individual |
| Full Name | MRS. BRIDGETT MOORE GANT |
| Credential | FNP-C, PMHNP-BC |
| Practice Address |
2711 Palo Alto Rd San Antonio TX 78211-4545 |
| Mailing Address |
6800 Park Ten Blvd Ste 200s San Antonio TX 78213-4293 |
| Practice Telephone | 2102611250 |
| Practice Fax Number | 2105326520 |
| Mailing Telephone | 2102611000 |
| Mailing Fax Number | 2102611821 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131272 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP131272 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7030 Clustering Oak Ct, Richmond, TX 774070822 | 2817252076 | 2813135878 |
| Street Address |
2711 PALO ALTO RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78211-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669419446 | Jean Souza | Counselor | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2006-06-01 |
| 1083257752 | Lee Bruce Reed | Counselor | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2019-10-24 |
| 1548723471 | Candice Karina Hall | Nurse Practitioner | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2019-04-08 |
| 1437503869 | Orion David Wirick | Counselor | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2016-04-22 |
| 1720449101 | Marina Rodriguez | Nurse Practitioner | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2016-03-14 |
| 1538446687 | Hue Diem Lu | Nurse Practitioner | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2011-11-03 |
| 1174827455 | Casey Jo Tully | Counselor | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2010-12-31 |
| 1467647578 | Natasha J Bryant | Counselor | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2007-09-11 |
| 1053489286 | Robert A Chesser | Counselor | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2006-12-04 |
| 1942244082 | Quentin Thomas | Counselor | 2711 Palo Alto Rd, San Antonio, TX 78211-4545 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211735 | Flour Bluff Dental Pllc | Dentist | 1431 Palo Alto Rd, San Antonio, TX 78211 | 2015-12-10 |
| 1578903282 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 8538 Ih 35 South, San Antonio, TX 78211 | 2013-06-26 |
| 1376774448 | Esmeralda Huizar Alvarado | Dental Hygienist | 902 Wagner, San Antonio, TX 78211 | 2009-08-06 |
| 1164677134 | Deborah Rodriguez | Occupational Therapist | 102 Palo Alto Rd., Suite 140, San Antonio, TX 78211 | 2008-11-18 |
| 1083895619 | Orthotics Specialist | Prosthetic/Orthotic Supplier | Orthotics Specialist Dba Hill Country Orthotics and Pro, 6631 S Zarzamora St, San Antonio, TX 78211 | 2007-11-26 |
| 1508079435 | Huong Mai Nguyen | Optometrist | 8538 Ih-35 South, San Antonio, TX 78211 | 2007-05-07 |
| 1750593760 | Methodist Healthcare Ministries of South Texas | Clinic/Center | Wesley Primary Care Clinic, 1406 Fitch Street, San Antonio, TX 78211 | 2007-05-03 |
| 1720116825 | Pieter Laven | Dentist | 7201 Somerset Road, San Antonio, TX 78211 | 2007-03-01 |
| 1710058458 | Sa Helping Hands LLC | Home Health | 5655 Highway 35 S, San Antonio, TX 78211 | 2006-11-13 |
| 1669073839 | Callilayne Garnsey | Pharmacist | 8538 Ih-35 South, San Antonio, TX 78211 | 2020-11-04 |
| Find all providers in zip 78211 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643968 | Britanni O Greene | Nurse Practitioner | 10650 Culebra Rd # 104-548, San Antonio, TX 78251-4949 | 2020-09-10 |
| 1356955462 | Saeid Nekoueian | Nurse Practitioner | 19506 Flair Oak, San Antonio, TX 78258-3648 | 2020-09-04 |
| 1649806282 | Monique Straker | Nurse Practitioner | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-03-16 |
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1023536612 | Olena Shvets | Nurse Practitioner | 311 Camden St # 510, San Antonio, TX 78215-2012 | 2017-09-02 |
| 1528598620 | Dianne Lavin LLC | Nurse Practitioner | 503 Benedict Ct, San Antonio, TX 78258-2545 | 2017-06-13 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1215476940 | Vita T Chung | Nurse Practitioner | 8122 Datapoint Dr Ste 1000, San Antonio, TX 78229-3273 | 2017-02-14 |
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78211 |
Please comment or provide details below to improve the information on MRS. BRIDGETT MOORE GANT.
| 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.