Bridgett Lynn Wilder

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

2242 N 17TH St
Milwaukee, WI 53205-1220

Phone

(414) 399-8031

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bridgett Lynn Wilder Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1366069718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12279",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532120279",
            "telephone_number": "414-399-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 N 17TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051220",
            "telephone_number": "414-399-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S 11th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532041203",
            "country_code": "US",
            "telephone_number": "414-399-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "BRIDGETT",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETT",
            "last_name": "WILDER",
            "middle_name": "LYNN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Casey Elizabeth Wilcoxen, P.A.-C
• Melinda Marie Wilcoxson
• Luke Wild, LPC
• Kristen Wilde, MD
• Ana Elizabeth Wilden
• Danyale Lenora Wilder, LPN
• Ellicia Wilder, LPC-IT, SAC-IT
• Mary Deloris Wilder, RN
• Shanika J Wilder
• Tamiko Wilder

• Nutrition Education Nutritionist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nutrition Education Nutritionist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.