Bridgetta Jasmine Parker

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019018042 Issued in VA

Practice address

14447 Belvedere Dr
Woodbridge, VA 22193-1501

Phone

(850) 902-8732

NPI assigned

May 20, 2021

Last updated

May 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1821663097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14447 BELVEDERE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931501",
            "telephone_number": "850-902-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14447 BELVEDERE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931501",
            "telephone_number": "850-902-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRIDGETTA",
        "middle_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019018042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyung Soon Park, MD
• Jineon Park
• Seojin Park
• Susan Park
• Yuka Park, PT
• Christina Ruth Parks, CRNA
• Jennifer Kathryn Parrella, M.S., LPC, LCMHC, NC
• Pars Anesthesia Associates, PLLC
• Passion Care Home Health, LLC
• Passion Home Care LLC

• Massage Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.