Active NPI
Bridget Jean Smith, FNP
- Family Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1205982105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP16467
- Practice address
- 2699 Atlantic Ave
Long Beach, CA 90806-2710 - Phone
- (562) 426-3333
- Fax
- (562) 989-2107
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP16467 | CA | Primary |
Addresses
Primary practice location
2699 Atlantic Ave
Long Beach, CA 90806-2710
Mailing address
2699 Atlantic Ave
Long Beach, CA 90806-2710
Phone (562) 426-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP16467 | Other | CA | NURSE PRACTITIONER LICENS |
Other names 1
- Bridget Jean Rocheleau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP16467 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
Interoperability endpoints
- bridgetsmith@hcpca.allscriptsdirect.net
Organizations & group practices 3
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.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1205982105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2699 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062710",
"telephone_number": "562-426-3333",
"fax_number": "562-989-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062710",
"telephone_number": "562-426-3333",
"fax_number": "562-989-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRIDGET",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP16467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENS",
"identifier": "NP16467",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "ROCHELEAU",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.