Organization Active NPI

Bridging the Gap Community Health Care Clinic L.L.C.

  • Primary Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1740042480
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRIDGING THE GAP COMMUNITY HEALTH CARE CLINIC L.L.C.
Practice address
1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Phone
(573) 723-6023
Fax
(573) 273-3442
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Tabatha Robinson, APRN
Title
Family Nurse Practitioner
Phone
(314) 226-3105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602

Mailing address

1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Phone (573) 723-6023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1740042480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "573-723-6023",
            "fax_number": "573-273-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "573-723-6023",
            "fax_number": "573-273-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP COMMUNITY HEALTH CARE CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-226-3105",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.