Latrisha Bridges

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1022088 Issued in TX

Practice address

120 N Walnut St
Jefferson, TX 75657-1934

Phone

(903) 665-6131

NPI assigned

Aug 7, 2018

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 TX

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PRMC Healthcare Group, Inc.Group PAC ID 6406919901, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
• McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342
• Choctaw Memorial Hospital Hospital, Hugo, OK, CCN 370100
• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4

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.

• PRMC Healthcare Group Inc

  • General Practice Physician
  • Paris, TX
  • NPI 1457514648

  TX

  Medicare reassignment Care Compare group NPD
• PRMC Healthcare Group Inc

  • Rural Health Clinic/Center
  • Clarksville, TX
  • NPI 1841808763
  Care Compare group NPD
• Kidney Disease and Dialysis Associates, PA

  • Nephrology Physician
  • Paris, TX
  • NPI 1427314608

  TX

  Medicare reassignment
• First in Pediatrics Home Health Care, Inc.

  • Home Health Agency
  • Jefferson, TX
  • NPI 1942255591
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767

  Hospital

  Care Compare affiliation
• Texas Heart Hospital of the Southwest, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340

  Hospital

  Care Compare affiliation
• Choctaw County City of Hugo Hospital Authority

  • Rural Acute Care Hospital
  • Hugo, OK
  • NPI 1881689289

  Hospital

  Care Compare affiliation
• McCurtain Memorial Medical Management, Inc.

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1477032860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 COUNTY ROAD 22900",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754601934",
            "telephone_number": "903-272-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N WALNUT ST",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756571934",
            "telephone_number": "903-665-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "LATRISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "787244",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Marie Bizzell
• Heather Orline Black
• Jodi Black
• Pamela Kathleen Blakeley
• Jordan Brian
• Heather Rae Burdine
• Tara Bevin Burke
• Amiee Darlene Burks Elam
• Michelle Antoinette Burks
• Kimberly Michelle Burris

• All providers in Jefferson, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; 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.