NPIMap

Individual provider Active NPI

Bridget Ann Lonergan, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1699228536
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60696109 Issued in WA
Practice address
1812 S J St Ste 120
Tacoma, WA 98405-4965
Phone
(253) 428-2200
Fax
(360) 830-1385
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60182248 WA
Nurse Practitioner 363L00000X AP60696109 WA
Family Nurse Practitioner 363LF0000X AP60696109 WA Primary

Addresses

Primary practice location

1812 S J St Ste 120
Tacoma, WA 98405-4965

Mailing address

1812 S J St Ste 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

Other identifiers 1

IdentifierTypeStateIssuer
2070153MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blonergan12135@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220001440 WA Practitioner - Nurse Practitioner 8921389594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1624 S I St
Suite 405
Tacoma, WA 98405-5094
Phone (253) 274-4545

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60182248WAMDRegistered Nurse
AP60696109WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Feb 18, 2019 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Feb 18, 2019 Accepting new patients
Community Health Association of Spokane CurrentSince Nov 8, 2016 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Oct 1, 2017 Accepting new patients
Community Health Association of Spokane CurrentSince Nov 8, 2016 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

4700 Point Fosdick Dr
Ste 102
Gig Harbor, WA 98335
Phone (206) 858-3200

222 15th Ave SE
Puyallup, WA 98372

15214 Canyon Rd E
Ste 120
Puyallup, WA 98375
Phone (253) 539-4200

4550 Fauntleroy Way SW
Ste 200
Seattle, WA 98126
Phone (206) 933-1041

203 N Washington St
Ste 300
Spokane, WA 99201

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

1802 Yakima Ave
Ste 102
Tacoma, WA 98405
Phone (253) 272-7777

1624 S I St
Ste 405
Tacoma, WA 98405
Phone (253) 274-4545

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

Organizations & group practices 8

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 10

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1699228536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 S J ST STE 120",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054965",
            "telephone_number": "253-428-2200",
            "fax_number": "360-830-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S J ST STE 120",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054965",
            "telephone_number": "253-428-2200",
            "fax_number": "360-830-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60182248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60696109",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60696109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070153",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blonergan12135@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1812 S J St Ste 120",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.