Individual provider Active NPI

Bridget R Reiter, RD

  • Registered Dietitian
  • Mobile, AL
National Provider Identifier
1245696202
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2290 Issued in AL
Practice address
55 Midtown Park E
Mobile, AL 36606-4141
Phone
(251) 478-2233
Fax
(877) 816-0592
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2290 AL Primary

Addresses

Primary practice location

55 Midtown Park E
Mobile, AL 36606-4141

Mailing address

55 Midtown Park E
Mobile, AL 36606-4141
Phone (251) 478-2233

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bridget@tdd-al-.direct.office.nextgen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210330002449 AL Practitioner - Registered Dietitian Or Nutrition Professional 6002223534 Reassigns benefits to 1 organization
I20260519001189 TX Practitioner - Registered Dietitian Or Nutrition Professional 6002223534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 Springhill Ave Floor
Suite 3
Mobile, AL 36607
Phone (251) 478-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2290ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
4TDD.Com, Inc. Dietitian, Registered CurrentSince Dec 25, 2020 Accepting new patients
4TDD.Com, Inc CurrentSince Oct 19, 2020 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

55 Midtown Park E
Mobile, AL 36606
Phone (251) 450-1010

1700 Spring Hill Ave
Fl 3
Mobile, AL 36604

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Interoperability endpoints

  • Direct secure messaging: bridget@tdd-al.direct.office.nextgen.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1245696202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MIDTOWN PARK E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064141",
            "telephone_number": "251-478-2233",
            "fax_number": "877-816-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MIDTOWN PARK E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064141",
            "telephone_number": "251-478-2233",
            "fax_number": "877-816-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "BRIDGET",
        "middle_name": "R",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget@tdd-al-.direct.office.nextgen.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "55 Midtown Park E",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366064141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.