Individual provider Active NPI

Bridget Ann Roughneen

  • Community Health Registered Nurse
  • Anchorage, AK
National Provider Identifier
1255976833
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
NURR27619 Issued in AK
Practice address
3601 C St Ste 760
Anchorage, AK 99503-5923
Phone
(907) 334-2247
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X NURR27619 AK Primary

Addresses

Primary practice location

3601 C St Ste 760
Anchorage, AK 99503-5923

Mailing address

3601 C St Ste 760
Anchorage, AK 99503-5923
Phone (907) 334-2247

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

LicenseStateTypeSpecialty
NURR27619AKMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alaska PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1255976833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 C ST STE 760",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035923",
            "telephone_number": "907-334-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 C ST STE 760",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035923",
            "telephone_number": "907-334-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGHNEEN",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AK",
            "license": "NURR27619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.