Individual provider Active NPI

Yunlay Quillo Bridges, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1770180739
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R125983 Issued in MD
Practice address
9767 Frankfurt Dr
Waldorf, MD 20603-5345
Phone
(301) 267-5090
Fax
(301) 267-5090
NPI assigned
Oct 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X NP64283 DC
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X R125983 MD Primary

Addresses

Primary practice location

9767 Frankfurt Dr
Waldorf, MD 20603-5345

Mailing address

9767 Frankfurt Dr
Waldorf, MD 20603-5345
Phone (301) 267-5090

Other practice location 1

21580 Peabody St
Leonardtown, MD 20650-2962
Phone (301) 475-4330

Other practice location 2

920 Varnum St NE
Washington, DC 20017-2145
Phone (202) 854-7400

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP64283DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Healthcare Service, LLC Psychiatric/Mental Health Current Accepting new patients
Desicare LLC Multi-Specialty PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1770180739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9767 FRANKFURT DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035345",
            "telephone_number": "301-267-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9767 FRANKFURT DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035345",
            "telephone_number": "301-267-5090",
            "fax_number": "301-267-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21580 Peabody St",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206502962",
            "country_code": "US",
            "telephone_number": "301-475-4330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Varnum St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200172145",
            "country_code": "US",
            "telephone_number": "202-854-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "YUNLAY",
        "middle_name": "QUILLO",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP64283",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R125983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.