Active NPI
Karla V Bringedahl, FNP
- Family Nurse Practitioner
- Clinton, LA
National Provider Identifier
1265579346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN075702
- Practice address
- 11323 Church Street
Clinton, LA 70722 - Phone
- (225) 683-3377
- Fax
- (225) 683-3370
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN075702 | LA | Primary |
Addresses
Primary practice location
11323 Church Street
Clinton, LA 70722
Mailing address
PO Box 8348
Clinton, LA 70722-1348
Phone (225) 683-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1542270 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN075702 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Feliciana Parish Hospital Physician Clinic | Past | Accepting new patients | |
| Baton Rouge General Physicians, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/westfel-403f2fc3
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1992729560
-
- Pediatric Adolescent Medicine Physician
- Saint Francisville, LA
- NPI 1164700118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265579346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8348",
"city": "CLINTON",
"state": "LA",
"postal_code": "707221348",
"telephone_number": "225-683-3377",
"fax_number": "225-683-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11323 CHURCH STREET",
"city": "CLINTON",
"state": "LA",
"postal_code": "70722",
"telephone_number": "225-683-3377",
"fax_number": "225-683-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINGEDAHL",
"first_name": "KARLA",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN075702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1542270",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.