Individual provider Active NPI

Ellen Louise Bridy, MSN, CRNP

  • Adult Health Nurse Practitioner
  • Malvern, PA
National Provider Identifier
1477721827
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP009213 Issued in PA
Practice address
31 Landmark Dr
Malvern, PA 19355-2471
Phone
(610) 408-8568
NPI assigned
Feb 19, 2008
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP009213 PA Primary

Addresses

Primary practice location

31 Landmark Dr
Malvern, PA 19355-2471

Mailing address

31 Landmark Dr
Malvern, PA 19355-2471
Phone (610) 408-8568

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
SP009213PAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1477721827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LANDMARK DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552471",
            "telephone_number": "610-408-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LANDMARK DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552471",
            "telephone_number": "610-408-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDY",
        "first_name": "ELLEN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP009213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; 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.