Active NPI
Bridges Coordination Services PC
Doing business as Bridges Coordination Services
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1750152740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BRIDGES COORDINATION SERVICES PC
- Doing business as
- Bridges Coordination Services
- Practice address
- 1060 Winton Ave
Indianapolis, IN 46224-6958 - Phone
- (317) 480-0421
- NPI assigned
- Jan 10, 2024
- Last updated
- Apr 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Lea McAvoy, LPN, CCM
- Title
- Ceo/Owner
- Phone
- (317) 480-0421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1060 Winton Ave
Indianapolis, IN 46224-6958
Mailing address
1060 Winton Ave
Indianapolis, IN 46224-6958
Phone (131) 748-0042
Other names 1
- Bridges Coordination Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL, SC, MO, IN
Enrollment records 5
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Avon, IN
- NPI 1467298000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1750152740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 WINTON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462246958",
"telephone_number": "131-748-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 WINTON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462246958",
"telephone_number": "317-480-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES COORDINATION SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-10",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "MCAVOY",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "LEA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "317-480-0421",
"authorized_official_credential": "LPN, CCM"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridges Coordination Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bridges Coordination Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.