Active NPI
Bridges and Beyond
- Early Intervention Provider Agency
- Wake Forest, NC
National Provider Identifier
1083894554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- BRIDGES AND BEYOND
- Practice address
- 104 S White St
Suite 205
Wake Forest, NC 27587-2773 - Phone
- (919) 554-0013
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lori Lewis, BA
- Title
- Developmental Therapist
- Phone
- (919) 554-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
104 S White St
Suite 205
Wake Forest, NC 27587-2773
Mailing address
104 S White St
Suite 205
Wake Forest, NC 27587-2773
Phone (919) 554-0013
National Provider Directory
National Provider DirectoryLocations
104 S White St
Ste 205
Wake Forest, NC 27587
Phone (919) 554-0013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1083894554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S WHITE ST",
"address_2": "SUITE 205",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872773",
"telephone_number": "919-554-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S WHITE ST",
"address_2": "SUITE 205",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872773",
"telephone_number": "919-554-0013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES AND BEYOND",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
"authorized_official_telephone_number": "919-554-3001",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.