Bridgette Taylor, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN081854 Issued in GA

Practice address

9396 Fairfield Pkwy
Jonesboro, GA 30236-7408

Phone

(770) 299-4625

NPI assigned

Mar 30, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Day Consulting, LLC

  • Public Health or Welfare Agency
  • Riverdale, GA
  • NPI 1194341727
  NPD Authorized official

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1366070047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9396 FAIRFIELD PKWY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302367408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9396 FAIRFIELD PKWY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302367408",
            "telephone_number": "770-299-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRIDGETTE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN081854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Chiropractic Care Center, LLC
• Tarr Personal Care Home LLC.
• Ronasha Tate
• Yulonda Tate, CSA
• Benjamin Allen Taylor Jr., DMD
• Sharon Temple
• The Best Fruit Store Inc
• The Diabetic Store
• The Emory Clinic Inc
• The Empowerment Academy for Girls and Women, Inc.

• Licensed Practical Nurse in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.