Rose Bridges

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

7402000190 Issued in MI

Practice address

16587 Enterprise Dr Ste E
Three Rivers, MI 49093-7902

Phone

(269) 244-4172

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2024.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1134601933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16587 ENTERPRISE DR STE E",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490937902",
            "telephone_number": "269-244-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16587 ENTERPRISE DR STE E",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490937902",
            "telephone_number": "269-244-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MI",
            "license": "7402000190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Bode, RPH
• Teeva Bolhuis, PT, DPT
• Sheila Rae Boodt
• Mary Lou Borgert, PH.D.
• Madelyn Borst
• Elaine Lee Bussema, LMSW
• Michael Bylsma, DPT
• Peggy Cahue-Kuipers
• Theresa Ann Camburn, MSW
• Kelley C Campbell, FNP-C

• All providers in Three Rivers, MI
• Assistant Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.