Bridget Paulette Carver

Individual provider Active NPI Home Health Registered Nurse · Jefferson, TX

NPI 1720568140 · NPPES record last updated Aug 15, 2018

Key facts

NPI
1720568140
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
756479 (TX)
Practice address
120 N Walnut St
Jefferson, TX 75657-1934
Phone
(903) 665-6131
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
756479TXMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First in Pediatrics Home Health Care, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 756479 TX Yes

Addresses

Primary practice location

120 N Walnut St
Jefferson, TX 75657-1934

Mailing address

PO Box 901
Jefferson, TX 75657-0901

Other providers in Jefferson, TX

All providers in Jefferson, TX · Home Health Registered Nurse in Texas

Sources for this page

Verify at the official NPI Registry.