Individual provider Active NPI

Bridget Maureen Faricy-Beredo, FNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1447705124
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019797 Issued in OH
Practice address
2010 Tremainsville Rd
Toledo, OH 43613-3947
Phone
(419) 812-2393
NPI assigned
Aug 23, 2016
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019797 OH Primary

Addresses

Primary practice location

2010 Tremainsville Rd
Toledo, OH 43613-3947

Mailing address

329 N West St
Lima, OH 45801-4331
Phone (419) 221-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327002334 OH Practitioner - Nurse Practitioner 3173808557 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Aug 15, 2023 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Health Partners of Western Ohio CurrentSince Aug 15, 2023 Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Community and Rural Health Services Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients

Locations

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

2010 Tremainsville Rd
Toledo, OH 43613
Phone (419) 671-3167

2200 Arlington Ave
Toledo, OH 43614
Phone (419) 671-2000

222 McTigue Dr
Toledo, OH 43615
Phone (419) 442-7702

2400 Collingwood Blvd
Toledo, OH 43620
Phone (419) 442-7701

301 Morrison Dr
Toledo, OH 43605
Phone (419) 671-7000

5601 Clegg Dr
Toledo, OH 43613
Phone (419) 473-8319

701 E Central Ave
Toledo, OH 43608
Phone (419) 671-6000

Organizations & group practices 11

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1447705124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014331",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 TREMAINSVILLE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436133947",
            "telephone_number": "419-812-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARICY-BEREDO",
        "first_name": "BRIDGET",
        "middle_name": "MAUREEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.