Individual provider Active NPI

Amy Bridge

  • Primary Care Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1770966921
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1770966921 Issued in CT
Practice address
85 Seymour St
Suite 900
Hartford, CT 06106
Phone
(860) 241-0700
Fax
(860) 525-7881
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6334 CT
Primary Care Nurse Practitioner 363LP2300X 1770966921 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 900
Hartford, CT 06106

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 241-0700

Other identifiers 1

IdentifierTypeStateIssuer
094789OtherCTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20151202002528 CT Practitioner - Nurse Practitioner 3072813799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as group
Quality
90.49
Promoting interoperability
100
Improvement activities
40
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1770966921CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Oct 14, 2015 Accepting new patients
Starling Physicians, PLLC Nurse Practitioner CurrentSince Oct 14, 2015 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

136 Berlin Rd
Cromwell, CT 06416
Phone (860) 378-8585

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

11 South Rd
Farmington, CT 06032
Phone (860) 522-7121

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

18 E Granby Rd
Granby, CT 06035
Phone (860) 653-2301

100 Retreat Ave
Hartford, CT 06106
Phone (860) 244-0148

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Ste 900
Hartford, CT 06106
Phone (860) 241-0700

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

184 East St
Plainville, CT 06062
Phone (860) 747-0730

2110 Silas Deane Hwy
Rocky Hill, CT 06067

209 Main St
Southington, CT 06489
Phone (860) 329-0401

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

Organizations & group practices 4

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1770966921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672313",
            "telephone_number": "860-241-0700",
            "fax_number": "860-525-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 900",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-241-0700",
            "fax_number": "860-525-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "6334",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "1770966921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "094789",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.