Amy Bridges I
Individual provider Active NPI Family Nurse Practitioner · Ripley, MS
NPI 1013464494 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1013464494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 901731 (MS)
- Practice address
- 716 S Main St
Ripley, MS 38663-2909 - Phone
- (662) 837-1534
- Fax
- (662) 837-3274
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive MD Ms LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901731 | MS | Yes |
Addresses
Primary practice location
716 S Main St
Ripley, MS 38663-2909
Mailing address
716 S Main St
Ripley, MS 38663-2909
Phone (662) 837-1534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 901731 | Other | MS | STATE LICENSE |
Other providers in Ripley, MS
- Linda Barkley
- Hannah Barnes
- Slymece Bennett
- Box Family Medicine Clinic
- Carla H Bray
- Brooke Brown
- James R Brown
- Emily Brumley
- Kelly Craig Bullock
- Kara Faith Burns
All providers in Ripley, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.