Individual provider Active NPI

Bridgette Viotto, FNP-C

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1124728712
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025036 Issued in FL
Practice address
1075 Oakleaf Plantation Pkwy Ste 108
Orange Park, FL 32065-3626
Phone
(904) 282-4565
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11025036 FL Primary

Addresses

Primary practice location

1075 Oakleaf Plantation Pkwy Ste 108
Orange Park, FL 32065-3626

Mailing address

1075 Oakleaf Plantation Pkwy Ste 108
Orange Park, FL 32065-3626
Phone (904) 282-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607003945 FL Practitioner - Nurse Practitioner 8123493459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11025036FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rd Medical Professional Services PC CurrentSince Jul 22, 2024 Accepting new patients
Health Testing Solutions, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

241 SE 1st St
Belle Glade, FL 33430
Phone (561) 464-5500

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

570 Wells Rd
Orange Park, FL 32073
Phone (904) 264-3912

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

5157 Park Club Dr
Sarasota, FL 34235
Phone (941) 377-0022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1124728712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653626",
            "telephone_number": "904-282-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653626",
            "telephone_number": "904-282-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOTTO",
        "first_name": "BRIDGETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.