Bridge Integrating Group Practice LLC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

BRIDGE INTEGRATING GROUP PRACTICE LLC

Practice address

6600 York Rd Ste 103
Baltimore, MD 21212-2092

Phone

(443) 384-5255

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Ann Maria Stewart, PMHNP-BCNPI 1962150680

Title

CRNP-PMH

Phone

(410) 900-3819

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bridge Integrating group practice LLC Doing business as

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Maria Stewart, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1962150680
  Medicare reassignment NPD Authorized official
• Chinenye Vivian Akpuaka

  • Psychiatric/Mental Health Nurse Practitioner
  • Gwynn Oak, MD
  • NPI 1780301903
  Medicare reassignment NPD
• Akwen N Bayong, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
  • NPI 1316207731
  Medicare reassignment NPD
• Alexandra Boursiquot

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
  • NPI 1245752278
  Medicare reassignment NPD
• Kingsley Azubuike Onuorah

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1669176897
  Medicare reassignment NPD
• Olufunke Abidemi Taiwo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1861058570

  MD

  Medicare reassignment NPD
• Evelyne Jeanne Makany Ndzana, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Adamstown, MD
  • NPI 1215518089

  Single Specialty

  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1821711706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122092",
            "telephone_number": "443-384-5255",
            "fax_number": "443-384-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122092",
            "telephone_number": "443-384-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE INTEGRATING GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CRNP-PMH",
        "authorized_official_telephone_number": "410-900-3819",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962150680",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279136",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAPTOP",
            "affiliation": "N",
            "endpointDescription": "LAPROP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Lugine Ave",
            "city": "Gwynn Oak",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212074415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAPTOP",
            "affiliation": "N",
            "endpointDescription": "LAPTOP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6600 York Rd Ste 103",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212122092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAPTOP",
            "affiliation": "N",
            "endpointDescription": "LAPTOP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Lugine Ave",
            "city": "Gwynn Oak",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212074415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6600 York Rd Ste 103",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212122092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAPTOP",
            "affiliation": "N",
            "endpointDescription": "LAPTOP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6600 York Rd Ste 103",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212122092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bridge Integrating group practice LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridge Integrating group practice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.

Verify at the official NPI Registry.