Active NPI
Suzanne Lynette Bridgeman, SLP ASSISTANT
- Speech-Language Assistant
- Corpus Christi, TX
National Provider Identifier
1053588145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 34387
- Practice address
- 4444 Corona Dr
Suite 234
Corpus Christi, TX 78411-4324 - Phone
- (361) 854-1110
- Fax
- (361) 854-7910
- NPI assigned
- May 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 34387 | TX | Primary |
Addresses
Primary practice location
4444 Corona Dr
Suite 234
Corpus Christi, TX 78411-4324
Mailing address
4444 Corona Dr
Suite 234
Corpus Christi, TX 78411-4324
Phone (361) 854-1110
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34387 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1053588145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 CORONA DR",
"address_2": "SUITE 234",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114324",
"telephone_number": "361-854-1110",
"fax_number": "361-854-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 CORONA DR",
"address_2": "SUITE 234",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114324",
"telephone_number": "361-854-1110",
"fax_number": "361-854-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGEMAN",
"first_name": "SUZANNE",
"middle_name": "LYNETTE",
"credential": "SLP ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "34387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.