Kathleen Rose Dunham Bridges, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN076524 Issued in GA

Practice address

110 R T Stanley Sr Place
Lyons, GA 30436

Phone

(912) 526-9355

Fax

(912) 526-8622

NPI assigned

Jan 18, 2007

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: kathleen.bridges@hca5.eclinicaldirectplus.com
• Direct secure messaging: kathleen.bridges@rts.gadirect.net
• Direct secure messaging: kathleen.bridges@srpcc.gadirect.net

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.

• Southeast Regional Primary Care Corporation

  • Multi-Specialty Clinic/Center
  • Vidalia, GA
  • NPI 1467568907
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1033262829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RT STANLEY SENIOR PL",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "30436",
            "telephone_number": "912-537-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 R T STANLEY SR PLACE",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "30436",
            "telephone_number": "912-526-9355",
            "fax_number": "912-526-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM BRIDGES",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-04-05",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN076524",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN076524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Home Nursing Services Inc
• Cornerstone Deliverance & Development Ministries for Christ, Inc
• James Roy Cornwell, MD
• Donald J Payne DMD PC
• Robert Thomas Driggers, RPH
• For Life Home Care LLC
• Shiretha Vinessa Foster
• Lisa Gardisser
• Ashley Joann Garner
• Allie Gillis

• Nurse Practitioner in Lyons, GA
• Providers in Lyons, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.