Individual provider Active NPI

Bridget Seaton

  • Nurse's Aide
  • Jackson, MS
National Provider Identifier
1053049866
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
37145 Issued in MS
Practice address
5425 Clinton Blvd Apt Se4
Jackson, MS 39209-3011
Phone
(769) 232-5346
NPI assigned
Aug 10, 2022
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 37145 MS Primary

Addresses

Primary practice location

5425 Clinton Blvd Apt Se4
Jackson, MS 39209-3011

Mailing address

5425 Clinton Blvd Apt Se4
Jackson, MS 39209-3011
Phone (769) 232-5346

Other identifiers 1

IdentifierTypeStateIssuer
CP575GMedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL virturecare@gmail.com Direct

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
37145MSMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1053049866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 CLINTON BLVD APT SE4",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392093011",
            "telephone_number": "769-232-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 CLINTON BLVD APT SE4",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392093011",
            "telephone_number": "769-232-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEATON",
        "first_name": "BRIDGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MS",
            "license": "37145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP575G",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "virturecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Virture Care Home Health LLC",
            "address_1": "5425 Clinton Blvd Windsor Park",
            "address_2": "SE4",
            "city": "JACKSON",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.