Active NPI
Bridget Henderson, RD, LD
- Registered Dietitian
- Carson City, NV
National Provider Identifier
1396300042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39474-DI-0
- Practice address
- 1600 Medical Pkwy
Carson City, NV 89703-4625 - Phone
- (775) 445-8653
- NPI assigned
- May 8, 2019
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 39474-DI-0 | NV | Primary |
Addresses
Primary practice location
1600 Medical Pkwy
Carson City, NV 89703-4625
Mailing address
1600 Medical Parkway
Attn: Diabetes Education
Carson City, NV 89703
Phone (775) 445-8653
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bridget.henderson@carsontahoe.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CTH Physicians Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1306533732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1396300042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MEDICAL PARKWAY",
"address_2": "ATTN: DIABETES EDUCATION",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "89703",
"telephone_number": "775-445-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL PKWY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034625",
"telephone_number": "775-445-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "BRIDGET",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39474-DI-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bridget.henderson@carsontahoe.org",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1600 Medical Pkwy",
"city": "Carson City",
"state": "NV",
"country_code": "US",
"postal_code": "897034625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.