Individual provider Active NPI

Dakima Lisa Bridges, FNP-BC

  • Family Nurse Practitioner
  • Bridgeport, MI
National Provider Identifier
1659645125
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704250908 Issued in MI
Practice address
6297 Dixie Hwy
Bridgeport, MI 48722-9635
Phone
(989) 759-6460
Fax
(989) 759-6465
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704250908 MI Primary

Addresses

Primary practice location

6297 Dixie Hwy
Bridgeport, MI 48722-9635

Mailing address

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dakima.bridges@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120328000519 MI Practitioner - Nurse Practitioner 9638339674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health Centers 85 clinicians

Practice addresses (Care Compare)

229 Gallagher St
Saginaw, MI 48601-3252
Phone (989) 755-3619

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704250908MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amaning K Sarkodie, MD,PLC CurrentSince Aug 22, 2023 Accepting new patients
Mi Health Solutions PC PastSince May 1, 2018 Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

3444 Davenport Ave
Saginaw, MI 48602
Phone (833) 855-2001

Interoperability endpoints

  • Direct secure messaging: dakima.bridges.1@27771.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1659645125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071203",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6297 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229635",
            "telephone_number": "989-759-6460",
            "fax_number": "989-759-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "DAKIMA",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704250908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dakima.bridges@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "6297 Dixie Hwy",
            "city": "Bridgeport",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487229635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, MI

Sources for this page

Verify at the official NPI Registry.