Individual provider Active NPI

Bridgett Hansford

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1699640565
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
124087 Issued in WV
Practice address
6400 Dutchmans Pkwy Ste 390
Louisville, KY 40205-3340
Phone
(877) 443-4006
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4046364 KY
Nurse Practitioner 363L00000X 124087 WV Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 390
Louisville, KY 40205-3340

Mailing address

4044 Farmington Dr
Hurricane, WV 25526-8756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20260318000855 KY Practitioner - Nurse Practitioner 8628552601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18451 Dallas Pkwy
Suite 150
Dallas, TX 75287-5202

623 Highland Colony Pkwy
Suite 100
Ridgeland, MS 39157-8720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4046364KYMDNurse Practitioner
124087WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care LLC Nurse Practitioner CurrentSince Feb 20, 2026 Accepting new patients
1St America Infusion Services LLC PastSince Oct 12, 2025 Accepting new patients

Locations

6420 Dutchmans Pkwy
Ste 390
Louisville, KY 40205
Phone (502) 259-9160

Organizations & group practices 2

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": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1699640565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 FARMINGTON DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 390",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "877-443-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSFORD",
        "first_name": "BRIDGETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4046364",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "124087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.