Active NPI
Bridget Elizabeth Wareham, FNP-C
- Family Nurse Practitioner
- Ventura, CA
National Provider Identifier
1639636905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010941
- Practice address
- 2705 Loma Vista Rd Ste 205
Ventura, CA 93003-1582 - Phone
- (805) 585-3086
- Fax
- (805) 653-0616
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010941 | CA | Primary |
Addresses
Primary practice location
2705 Loma Vista Rd Ste 205
Ventura, CA 93003-1582
Mailing address
9790 Rhone St
Ventura, CA 93004-3078
Phone (805) 585-3086
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95010941 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING FAMILY NURSE PRACTITIONER |
| 484665 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING, REGISTERED NURSE |
| 95010941 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING, NURSE PRACTITIONER FURNISHING |
| F10181558 | Other | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
422 Arneill Rd B
Camarillo, CA 93010-6434
Phone (805) 383-4510
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients |
Locations
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
2705 Loma Vista Rd
Ste 205
Ventura, CA 93003
Phone (805) 585-3086
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
Interoperability endpoints
- bridgetwareham@cfh.allscriptsdirect.net
- bwareham3518458@oc.providencedirect.org
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.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1639636905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9790 RHONE ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930043078",
"telephone_number": "805-585-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 LOMA VISTA RD STE 205",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031582",
"telephone_number": "805-585-3086",
"fax_number": "805-653-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAREHAM",
"first_name": "BRIDGET",
"middle_name": "ELIZABETH",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF REGISTERED NURSING FAMILY NURSE PRACTITIONER",
"identifier": "95010941",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF REGISTERED NURSING, REGISTERED NURSE",
"identifier": "484665",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF REGISTERED NURSING, NURSE PRACTITIONER FURNISHING",
"identifier": "95010941",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS",
"identifier": "F10181558",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.