KARISA BRIDWELL (NPI# 1912354960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912354960 |
| Entity Type | Individual |
| Full Name | KARISA BRIDWELL |
| Practice Address |
96102 Marsh Lakes Dr Fernandina Beach FL 32034-6877 |
| Practice Telephone | 9045566120 |
| Mailing Telephone | 9045566120 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
96102 MARSH LAKES DR |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893195 | Robert Feinberg | Specialist/Technologist | 9667 Arbor View Dr N, Boynton Beach, FL 33437-5938 | 2019-07-22 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1013314343 | Stephanie Snapp-sovik | Specialist/Technologist | 16648 Deer Chase Loop, Orlando, FL 32828-6934 | 2014-12-02 |
| 1003246984 | Desiree Villarroel Chachula | Specialist/Technologist | 50 Island Ct, Terra Ceia, FL 34250-0298 | 2013-11-14 |
| 1598052235 | Marilyn Diane Betz | Specialist/Technologist | 3180 County Road 220, Suite 3, Middleburg, FL 32068-4374 | 2011-07-01 |
| 1033441811 | Aleksandra Lutovsky | Specialist/Technologist | 1303 Lake Clay Dr, Lake Placid, FL 33852-6987 | 2010-02-04 |
| 1508009358 | Jennifer1 Jones | Specialist/Technologist | 700 E Atlantic Blvd, # 307, Pompano Beach, FL 33060-6353 | 2009-04-09 |
| 1710131388 | Letztalk Inc | Specialist/Technologist | 1805 Se 16th Ave # 900, Ocala, FL 34471-4672 | 2008-11-10 |
| 1407007842 | Barbara Shawn Knowlen | Specialist/Technologist | 164 Springwood Cir Apt A, Longwood, FL 32750-5051 | 2008-10-03 |
| 1659541662 | Trang C Cao | Specialist/Technologist | 255 Miracle Strip Pkwy Se Unit B14, Ft Walton Bch, FL 32548-5833 | 2008-03-05 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on KARISA BRIDWELL.
| 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.