Laura T. Bridgman, F.N.P., N.D.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R026043 Issued in ME

Practice address

218 Cottrell Rd
Dixmont, ME 04932-3246

Phone

(207) 512-0584

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Evergreen Healing Center, LLC

  • Family Nurse Practitioner
  • Bangor, ME
  • NPI 1578892147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1043315658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015417",
            "telephone_number": "207-512-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 COTTRELL RD",
            "city": "DIXMONT",
            "state": "ME",
            "postal_code": "049323246",
            "telephone_number": "207-512-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGMAN",
        "first_name": "LAURA",
        "middle_name": "T.",
        "credential": "F.N.P., N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R026043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246520000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amaris Pedersen Occupational Therapy LLC
• Community Ambulance Inc
• Carolyn R. Dodge, CADC
• Elera Health Maine
• Audrey Abigail Maddox-Cole
• Amaris Pedersen, OT

• Family Nurse Practitioner in Dixmont, ME
• Providers in Dixmont, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.