Individual provider Active NPI

Girija Menon, DNP, PMHNP-BC

  • Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1215359377
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP5325 Issued in AZ
Practice address
Community Bridges Inc
1855 W Baseline Rd Ste 101
Mesa, AZ 85202
Phone
(480) 831-7566
Fax
(480) 775-2466
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP5325 AZ Primary

Addresses

Primary practice location

Community Bridges Inc
1855 W Baseline Rd Ste 101
Mesa, AZ 85202

Mailing address

Community Bridges Inc
1855 W Baseline Rd Ste 101
Mesa, AZ 85202
Phone (480) 831-7566

Other names 1

  • Girija Menon Radhamaniamma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140520000445 AZ Practitioner - Nurse Practitioner 9537382502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

358 E Javelina Ave
Suite 101
Mesa, AZ 85210-6205
Phone (480) 507-3180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5325AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. CurrentSince Mar 24, 2016 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Mar 24, 2016 Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 105
Avondale, AZ 85323
Phone (602) 545-8247

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste 110
Tucson, AZ 85701
Phone (520) 323-1212

2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: girija.radhamaniammanp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 7

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": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1215359377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNITY BRIDGES INC",
            "address_2": "1855 W BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-831-7566",
            "fax_number": "480-775-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY BRIDGES INC",
            "address_2": "1855 W BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-831-7566",
            "fax_number": "480-775-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "GIRIJA",
        "name_prefix": "Mrs.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP5325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIRIJA",
            "last_name": "RADHAMANIAMMA",
            "middle_name": "MENON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.