Dallas Nicole Bridges

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1818 Harden Blvd
Lakeland, FL 33803-1812

Phone

(781) 923-0900

Fax

(781) 616-3306

NPI assigned

Jul 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1114590890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 CLAY TURNER RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335667607",
            "telephone_number": "813-716-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031812",
            "telephone_number": "781-923-0900",
            "fax_number": "781-616-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "DALLAS",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel James Bretz, DC
• Eric Joel Breuggeman, DPM
• Karyn Rebecca Brewer
• Brian T. Crosby DMD PA
• Bridges Optical
• Mark Joseph Bridges, L.D.O.
• Bridgewalk on Harden Health and Rehabilitation LLC
• Elizabeth Corinne Brien, MD
• Stephanie-Danielle Briggs, APRN
• Brilliant Smiles Lakeland PA

• Behavior Technician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.