Active NPI
Abigail Bridgewater, PHLEBOTOMIST
- Phlebotomy Technician
- Fort Plain, NY
National Provider Identifier
1245089895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- Z2M2F8F3
- Practice address
- 1 Dairy St
Fort Plain, NY 13339-1304 - Phone
- (518) 844-2799
- NPI assigned
- May 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Z2M2F8F3 | NY | Primary |
Addresses
Primary practice location
1 Dairy St
Fort Plain, NY 13339-1304
Mailing address
1 Dairy St
Fort Plain, NY 13339-1304
Phone (518) 844-2799
Other names 1
- Abigail Bridgewater
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z2M2F8F3 | NY | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1245089895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DAIRY ST",
"city": "FORT PLAIN",
"state": "NY",
"postal_code": "133391304",
"telephone_number": "518-844-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DAIRY ST",
"city": "FORT PLAIN",
"state": "NY",
"postal_code": "133391304",
"telephone_number": "518-844-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGEWATER",
"first_name": "ABIGAIL",
"name_prefix": "Mrs.",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NY",
"license": "Z2M2F8F3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "BRIDGEWATER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Plain, NY
Sources for this page
- 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.