Organization Active NPI

Blade and Bridge Healthcare PLLC

  • Certified Registered Nurse Anesthetist
  • St Augustine, FL
National Provider Identifier
1083564801
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BLADE AND BRIDGE HEALTHCARE PLLC
Practice address
495 Silver Pine Dr
St Augustine, FL 32092-3198
Phone
(845) 596-6394
NPI assigned
Jan 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Authorized official

Name
Mrs. Jillian Cullinane, CRNANPI 1699019455
Title
Owner
Phone
(845) 596-6394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

495 Silver Pine Dr
St Augustine, FL 32092-3198

Mailing address

495 Silver Pine Dr
St Augustine, FL 32092-3198
Phone (845) 596-6394

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769817600000",
    "number": "1083564801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 SILVER PINE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923198",
            "telephone_number": "845-596-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 SILVER PINE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923198",
            "telephone_number": "845-596-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADE AND BRIDGE HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-31",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A",
        "authorized_official_last_name": "CULLINANE",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-596-6394",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.