Individual provider Active NPI

Arlene Bridgers, LPN

  • Licensed Practical Nurse
  • Kingman, AZ
National Provider Identifier
1003676024
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
240657 Issued in AZ
Practice address
1115 N Stockton Hill Rd Ste 103
Kingman, AZ 86401-6232
Phone
(928) 565-6599
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 240657 AZ Primary

Addresses

Primary practice location

1115 N Stockton Hill Rd Ste 103
Kingman, AZ 86401-6232

Mailing address

8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
240657AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Services Arizona-Private, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1115 N Stockton Hill Rd
Ste 103
Kingman, AZ 86401
Phone (928) 565-6599

8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1003676024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N STOCKTON HILL RD STE 103",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016232",
            "telephone_number": "928-565-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGERS",
        "first_name": "ARLENE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "240657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.