Individual provider Active NPI

Kayla J Bridgett, NP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1396581195
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95030014 Issued in CA
Practice address
2801 K St Ste 200
Sacramento, CA 95816-5118
Phone
(916) 779-1160
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95030014 CA Primary

Addresses

Primary practice location

2801 K St Ste 200
Sacramento, CA 95816-5118

Mailing address

2400 Sierra Blvd Apt 89
Sacramento, CA 95825-4823
Phone (510) 610-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250630002379 CA Practitioner - Nurse Practitioner 9335663830 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urogynecology Consultants Medical Corporation CurrentSince Mar 28, 2025 Accepting new patients

Locations

5 Medical Plaza Dr
Ste 290
Roseville, CA 95661
Phone (916) 772-5533

2801 K St
Ste 200
Sacramento, CA 95816
Phone (916) 779-1160

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1396581195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SIERRA BLVD APT 89",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254823",
            "telephone_number": "510-610-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165118",
            "telephone_number": "916-779-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGETT",
        "first_name": "KAYLA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.