Alesha Patton Pridgen

Primary specialty

HomemakerTaxonomy code 376J00000X

License

234778 Issued in FL

Practice address

1367 S Railroad Ave Ste a
Chipley, FL 32428-1461

Phone

(850) 676-4273

Fax

(850) 676-4274

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• By Your Side Home Care Service, LLC

  • In Home Supportive Care Agency
  • Marianna, FL
  • NPI 1023510716

  Homemaker

  NPD Authorized official
• By Your Side Home Care, LLC

  • In Home Supportive Care Agency
  • Dothan, AL
  • NPI 1235847096
  NPD Authorized official

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275054744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 S RAILROAD AVE STE A",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281461",
            "telephone_number": "850-676-4273",
            "fax_number": "850-676-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 S RAILROAD AVE STE A",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281461",
            "telephone_number": "850-676-4273",
            "fax_number": "850-676-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "ALESHA",
        "middle_name": "PATTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020758200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panhandle Pediatric Therapy LLC
• Diviya Sampatrai Patel, PHARMD
• Chad Pomes
• Annette Griffin Porter, M.D.
• Precision Eye Care LTD
• Amy Rackard, NP-C
• Stephine Ramsey
• Bert Ryan Reitsma, PT
• Renal Treatment Centers-Southeast, LP. (Chipley Dialysis)
• Restore Therapy and Wellness, Inc. (Coastal Fitness & Rehablilitation Center)

• Homemaker in Chipley, FL
• Providers in Chipley, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.