Kayla Bridgewater, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP500009368 Issued in DC

Practice address

1430 K St NW # 102
Washington, DC 20005-2504

Phone

(703) 337-3483

NPI assigned

Dec 22, 2021

Last updated

May 7, 2024By the provider in NPPES

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 MD, DC2 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

Nurse Practitioner

Education

Louisiana State University School of Medicine in New Orleans, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pain and Spine Specialists of Maryland, LLC

  dba Pain and Spine Specialists of Florida

  • Specialist
  • Mount Airy, MD
  • NPI 1174884258

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1447910054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 MAIN ST",
            "city": "SORRENTO",
            "state": "LA",
            "postal_code": "707783022",
            "telephone_number": "504-547-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 K ST NW # 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052504",
            "telephone_number": "703-337-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEWATER",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500009368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deara Bridges
• Kisa Bridges
• Latonya Bridges
• Marion Bridges
• Robert R Bridges III, M.D.
• Bridgeway Community Services ,Inc
• Brittany Nicole Brier, LGSW
• Nathan Edward Briganti
• Aesha Briggs
• Delicia Briggs

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

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