Care Bridge Foundation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CARE BRIDGE FOUNDATION

Practice address

6303 E Tanque Verde Rd Ste 311
Tucson, AZ 85715-3857

Phone

(520) 479-3042

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Keith Condon

Title

Ceo

Phone

(520) 904-4274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Robert Martens, ACNP

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1184335085

  Nurse Practitioner

  Medicare reassignment NPD
• Glenda Lagazo Aguirre Kaiama, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1952732380
  NPD
• Phillip Diaz

  • Family Nurse Practitioner
  • Vail, AZ
  • NPI 1932087939
  NPD
• Mosab Abdulbaset Frefer, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1659800977
  NPD
• Ashley Hack, NP

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
  • NPI 1821777608

  Nurse Practitioner

  NPD
• Devin L Wengert, PNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1346709557
  NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1033929948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD STE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 E TANQUE VERDE RD STE 311",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153857",
            "telephone_number": "520-479-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BRIDGE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-904-4274"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiosom, LLC
• Elba C. Cardona, MED
• Susan Musick Cardona, FNP
• Janette Deanna Cardwell, LCSW
• Daniela Cecilia Cardy, PHARM D.
• Care Choices, Inc
• Care From the Heart Hospice Inc
• Care Planning Institute
• Care Planning Institute, Inc
• Marina Isabel Careaga Castellanos

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.