Carissa Dawn Briddle, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7043 Issued in AZ

Practice address

2720 W Baseline Rd # 140
Tempe, AZ 85283-1065

Phone

(602) 777-6000

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, AZ2 enrollments

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 2

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.21 of 100Reported as group

Quality

77.66

Promoting interoperability

100

Improvement activities

40

Cost

66.36

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 34)

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/966271d9-392f-4763-af53-b6f343c6e2f9
• Direct secure messaging: carissacolgrove@direct.meditouchehr.com
• Direct secure messaging: cbriddle546149@direct.honorhealth.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

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.

• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614
  Medicare reassignment Care Compare group NPD
• Summit Memorial Medical Group LLC

  • General Practice Physician
  • Casper, WY
  • NPI 1598469462
  Medicare reassignment Care Compare group
• Summit Medical Center, LLC

  • Emergency Medicine Physician
  • Casper, WY
  • NPI 1992339493
  Medicare reassignment NPD
• Honorhealth-Fastmed Ambulatory Holdings LLC

  • Urgent Care Clinic/Center
  • Surprise, AZ
  • NPI 1467069047
  Medicare reassignment
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1700423415
  NPD
• Honorhealth-Fastmed Ambulatory Holdings LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1083221600
  NPD
• Honorhealth-Fastmed Ambulatory Holdings LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1801403480
  NPD
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD
• Arizona Pulmonary Specialists LTD

  • Pulmonary Disease Physician
  • Scottsdale, AZ
  • NPI 1215986468
  NPD (past)
• Texan Urgent Care PLLC

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1346545209
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1376981092
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1477818730
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1376635581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 W BASELINE RD STE 140",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831065",
            "telephone_number": "602-777-6000",
            "fax_number": "602-438-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 W BASELINE RD # 140",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831065",
            "telephone_number": "602-777-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094264",
            "country_code": "US",
            "telephone_number": "307-232-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 E 3rd St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826013251",
            "country_code": "US",
            "telephone_number": "307-333-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDDLE",
        "first_name": "CARISSA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-02-07",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7043",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua W Breger, M.S., CCC-SLP
• John P Breinholt III, MD
• Killian Gerard Brennan, RPH
• Brian Duncan Enterprises, LLC
• Brian T. Rose, MD, PLC
• Bridge Group Integrated Health Care Systems LLC
• Bridge to Balance Inc
• Bridge to Balance Inc
• Bridgepoint Medical Supply LLC
• Dawn Christia Bridges-Jones, DNP, PMHNP-BC, FNP-C

• Medical Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.