Organization Active NPI

Krista Bridges, LLC

Doing business as Krista Bridges

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1700901071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005459 Issued in GA
Legal business name
KRISTA BRIDGES, LLC
Doing business as
Krista Bridges
Practice address
11 Fallowfield Dr
Savannah, GA 31406-6419
Phone
(912) 354-7927
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Krista M Bridges, M.ED., CCC-SLP
Title
Owner, Speech-Language Pathologist
Phone
(912) 354-7927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP005459 GA Primary

Addresses

Primary practice location

11 Fallowfield Dr
Savannah, GA 31406-6419

Mailing address

11 Fallowfield Dr
Savannah, GA 31406-6419
Phone (912) 354-7927

Other names 1

  • Krista Bridges Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700901071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FALLOWFIELD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066419",
            "telephone_number": "912-354-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FALLOWFIELD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066419",
            "telephone_number": "912-354-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA BRIDGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "912-354-7927",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krista Bridges",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.