Bridgette Jeffries, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60909606 Issued in WA

Practice address

4630 200TH St SW
Suite B
Lynnwood, WA 98036

Phone

(425) 670-0380

Fax

(425) 670-0278

NPI assigned

Jan 11, 2019

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: restorationmentalhealthservicesllc.bridgettejeffreis@147353.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restoration Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
  • NPI 1295396166
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1740753854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 200TH ST SW",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-670-0280",
            "fax_number": "425-670-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 200TH ST SW",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-670-0380",
            "fax_number": "425-670-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 23rd Ave SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983724501",
            "country_code": "US",
            "telephone_number": "425-670-0280 x3",
            "fax_number": "425-670-0278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11900 NE 1st St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980053049",
            "country_code": "US",
            "telephone_number": "425-670-0280 x3",
            "fax_number": "425-670-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "BRIDGETTE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60909606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1295396166",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isatou Jatta
• PA Jatta
• Ebrima Jawara, RN
• Muhammed Jawara
• Jed V. Santiago, DDS, PLLC
• Colbi Renee Jeffries, CDP
• Kelsey Alexandria Jenkins
• Jennifer Kwok O.D., Inc.
• Christopher Jennings, NP
• Austin Dale Jensen, OD

• Psychiatric/Mental Health Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.