Active NPI
Bridget Yvette Mullen, FAMILY NURSE PRACTIT
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1720146988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN146011
- Practice address
- 424 Decatur St SE
Atlanta, GA 30312-1848 - Phone
- (678) 843-8500
- Fax
- (678) 843-8501
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN146011 | GA | Primary |
Addresses
Primary practice location
424 Decatur St SE
Atlanta, GA 30312-1848
Mailing address
424 Decatur St SE
Atlanta, GA 30312-1848
Phone (678) 843-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 755132055D | Medicaid | GA | |
| 755132055C | Medicaid | GA |
Other names 1
- Bridget Yvette Stevens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN146011 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Care Health Georgia, P.C. | Past | Accepting new patients | |
| Rediclinic LLC | Past | Accepting new patients | |
| Dekalb Medical Primary Care Group LLC | Past | Accepting new patients |
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.
-
- General Practice Physician
- Decatur, GA
- NPI 1104077171
-
- Family Nurse Practitioner
- Kennesaw, GA
- NPI 1043409964
-
- Clinic/Center
- Owasso, OK
- NPI 1528107141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1720146988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 DECATUR ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121848",
"telephone_number": "678-843-8500",
"fax_number": "678-843-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 DECATUR ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121848",
"telephone_number": "678-843-8500",
"fax_number": "678-843-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "BRIDGET",
"middle_name": "YVETTE",
"credential": "FAMILY NURSE PRACTIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN146011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755132055D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755132055C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "STEVENS",
"middle_name": "YVETTE",
"credential": "FAMILY NURSE PRACTIT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.