Individual provider Active NPI

Bridget Jafar, LPN

  • Licensed Practical Nurse
  • Solon, OH
National Provider Identifier
1457435265
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.115469-MEDS Issued in OH
Practice address
6483 Glenallen Ave
Solon, OH 44139-4027
Phone
(440) 341-4987
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.115469-MEDS OH Primary

Addresses

Primary practice location

6483 Glenallen Ave
Solon, OH 44139-4027

Mailing address

25695 Cambridge Dr
Bedford HTS, OH 44146-3136
Phone (440) 232-5777

Other identifiers 1

IdentifierTypeStateIssuer
2481630MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN.115469-MEDSOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Omnihealth Homecare Services LLC Current Accepting new patients
Ao Care LLP CurrentSince Oct 24, 2021 Accepting new patients
Isacare Health Team, LLC CurrentSince Feb 8, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1457435265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25695 CAMBRIDGE DR",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "441463136",
            "telephone_number": "440-232-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6483 GLENALLEN AVE",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394027",
            "telephone_number": "440-341-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFAR",
        "first_name": "BRIDGET",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.115469-MEDS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2481630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.