Individual provider Active NPI

Bridget Hungerford, PMHNP-BC, LMSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1497589865
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
253566 Issued in AZ
Practice address
21639 N 12TH Ave Ste 104
Phoenix, AZ 85027-2802
Phone
(602) 647-1853
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 253566 AZ Primary
Social Worker 104100000X 15969 AZ

Addresses

Primary practice location

21639 N 12TH Ave Ste 104
Phoenix, AZ 85027-2802

Mailing address

21639 N 12TH Ave Ste 104
Phoenix, AZ 85027-2802
Phone (602) 647-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20260414003273 AZ Practitioner - Nurse Practitioner 0446726806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Valley PsychiatryGroup PAC ID 3173060613, 2 clinicians

Practice addresses (Care Compare)

21639 N 12TH Ave
Suite 104
Phoenix, AZ 85027-2802
Phone (336) 343-5776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15969AZMDSocial Worker
253566AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Psychiatry CurrentSince Oct 12, 2025 Accepting new patients

Locations

21639 N 12th Ave
Ste 104
Phoenix, AZ 85027
Phone (336) 343-5776

Organizations & group practices 1

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1497589865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21639 N 12TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272802",
            "telephone_number": "602-647-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21639 N 12TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272802",
            "telephone_number": "602-647-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "BRIDGET",
        "credential": "PMHNP-BC, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "253566",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "15969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.