Active NPI
Nellie Bridgeforth
- Counselor
- Inglewood, CA
National Provider Identifier
1164546933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1007 Myrtle Ave
Inglewood, CA 90301-4009 - Phone
- (310) 412-4191
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1007 Myrtle Ave
Inglewood, CA 90301-4009
Mailing address
4065 Wall Street
Los Angeles, CA 90011
Phone (323) 231-3996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164546933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4065 WALL STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90011",
"telephone_number": "323-231-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 MYRTLE AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014009",
"telephone_number": "310-412-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGEFORTH",
"first_name": "NELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.