Jeffrey Scott Pridgen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51185 Issued in CA

Practice address

705 Trancas St
Napa, CA 94558-3014

Phone

(707) 255-6060

NPI assigned

May 20, 2021

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1427623693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLONIAL CT",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945059216",
            "telephone_number": "925-642-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583014",
            "telephone_number": "707-255-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea M Pribyl, D.O.
• Debra Juanita Price, RN, BSN, PHN
• Mark Price
• Mark A. Price, MD
• Ranae Price
• Angelica Prieto, ASW
• Erika L Proctor
• Progress Foundation
• Progress Foundation
• Progress Foundation

• Physical Therapy Assistant in Napa, CA
• Providers in Napa, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.