Individual provider Active NPI

Bridget Leann Howard, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1255984449
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5378882102 Issued in KS
Practice address
2135 N Collective LN
Wichita, KS 67206-3560
Phone
(316) 261-3220
Fax
(316) 261-3298
NPI assigned
Jul 17, 2019
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 5378882102 KS Primary

Addresses

Primary practice location

2135 N Collective LN
Wichita, KS 67206-3560

Mailing address

2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3220

Other practice location 1

3450 N Rock Rd Ste 503
Wichita, KS 67226-1355
Phone (316) 261-3220

Other names 1

  • Bridget Leann Glock Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address achu@ncks.org.direct.emds.com
Direct Messaging Address achu@ncks.org.direct.emds.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20191002000806 KS Practitioner - Nurse Practitioner 8123358322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Kansas LLCGroup PAC ID 0840222832, 11 clinicians

Practice addresses (Care Compare)

1400 S Kansas Ave
Suite 1200
Newton, KS 67114-5305
Phone (316) 677-8877

2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5378882102KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Kansas LLC CurrentSince Jan 24, 2023 Accepting new patients
Kansas Imaging Consultants, PA PastSince Jan 24, 2023 Accepting new patients
ASC at Fho PastSince Nov 1, 2020 Accepting new patients
Flint Hills Orthopaedics Kansas City, LLC PastSince Mar 4, 2021 Accepting new patients

Locations

2131 N Collective Ln
Wichita, KS 67206

2135 N Collective Ln
Wichita, KS 67206
Phone (316) 261-3220

3450 N Rock Rd
Ste 503
Wichita, KS 67226
Phone (316) 261-3220

Interoperability endpoints

  • Direct secure messaging: achu@ncks.org.direct.emds.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHFCD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1255984449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 N Rock Rd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672261355",
            "country_code": "US",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "BRIDGET",
        "middle_name": "LEANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5378882102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achu@ncks.org.direct.emds.com",
            "affiliation": "N",
            "address_1": "2135 N Collective Ln",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achu@ncks.org.direct.emds.com",
            "affiliation": "N",
            "address_1": "3450 N Rock Rd Ste 503",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672261355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "GLOCK",
            "middle_name": "LEANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.