Individual provider Active NPI

Stephanie Bridges, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1710766779
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-121255 Issued in AL
Practice address
812 Regal Dr SW
Huntsville, AL 35801-5603
Phone
(256) 964-8177
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 1-121255 AL Primary

Addresses

Primary practice location

812 Regal Dr SW
Huntsville, AL 35801-5603

Mailing address

900 Bob Wallace Ave SW
Huntsville, AL 35801-5691
Phone (256) 539-0781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250321002458 AL Practitioner - Nurse Practitioner 9537681275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians

Practice addresses (Care Compare)

1311 2ND Ave SW
Suite a
Cullman, AL 35055-5308
Phone (256) 841-3622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Hydration & Wellness CurrentSince Oct 1, 2023 Accepting new patients
Advantage Family Care, Inc. CurrentSince Mar 19, 2025 Accepting new patients
Advantage Family Care Inc CurrentSince Mar 19, 2025 Accepting new patients

Locations

1311 2nd Ave SW
Ste A
Cullman, AL 35055
Phone (256) 841-3622

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

812 Regal Dr SW
Huntsville, AL 35801
Phone (256) 964-8177

900 Bob Wallace Ave SW
Huntsville, AL 35801

300 Hughes Rd
Ste G2
Madison, AL 35758
Phone (256) 542-0230

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

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.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1710766779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BOB WALLACE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015691",
            "telephone_number": "256-539-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 REGAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015603",
            "telephone_number": "256-964-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "STEPHANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.