Active NPI
Danielle Marie Bridges, CNP
- Family Nurse Practitioner
- Vandalia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.19166-NP
- Practice address
- 780 Northwoods Blvd
Vandalia, OH 45377 - Phone
- (937) 665-0324
- NPI assigned
- Jun 15, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.19166-NP | OH | Primary |
Addresses
Primary practice location
780 Northwoods Blvd
Vandalia, OH 45377
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
1470 N Broadway St Ste 130
Lebanon, OH 45036-1762
Phone (513) 696-1280
Other names 1
- Ms. Danielle Marie Putnam
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbridges585767@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 E Alex Bell Rd
Suite 190
Dayton, OH 45459-2752
Phone (937) 425-4030
1470 N Broadway St
Suite 130
Lebanon, OH 45036-1206
Phone (513) 636-1280
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
Hospital & facility affiliations
- Kettering Health Main Campus
- Kettering Health Dayton
- Kettering Health Miamisburg
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.19166-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Ohio LLC | Family | Current | Accepting new patients |
| Alliance Physicians Inc | Current | Accepting new patients |
Locations
199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814
1470 N Broadway St
Ste 130
Lebanon, OH 45036
Phone (513) 636-1280
415 Byers Rd
Ste 300
Miamisburg, OH 45342
Phone (937) 866-2494
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
780 Northwoods Blvd
Vandalia, OH 45377
Phone (937) 264-2420
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Interoperability endpoints
- danielle.bridges@krogerhealth.eclinicaldirectplus.com
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.
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Family Nurse Practitioner
- Cincinnati, OH
- NPI 1982761896
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1184074684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 NORTHWOODS BLVD",
"city": "VANDALIA",
"state": "OH",
"postal_code": "45377",
"telephone_number": "937-665-0324"
}
],
"practiceLocations": [
{
"address_1": "1470 N Broadway St Ste 130",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OH",
"postal_code": "450361762",
"country_code": "US",
"telephone_number": "513-696-1280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIDGES",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.19166-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbridges585767@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1470 N Broadway St Ste 130",
"city": "Lebanon",
"state": "OH",
"country_code": "US",
"postal_code": "450361762",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1470 N Broadway St Ste 130",
"city": "Lebanon",
"state": "OH",
"country_code": "US",
"postal_code": "450361762",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "PUTNAM",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vandalia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.