Juanita Felton Bridges, M.S.,L.D.N.,R.D.,CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Practice address

510 East Stoner Avenue, #120
Overton Brooks VA Medical Center
Shreveport, LA 71101

Phone

(318) 990-5189

Fax

(318) 990-5724

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

• Mrs. Juanita Felton Bridges Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2013.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1841269743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 EAST STONER AVENUE, #120",
            "address_2": "VETERAN AFFAIRS MEDICAL CENTER",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-990-5189",
            "fax_number": "318-990-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 EAST STONER AVENUE, #120",
            "address_2": "OVERTON BROOKS VA MEDICAL CENTER",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-990-5189",
            "fax_number": "318-990-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JUANITA",
        "middle_name": "FELTON",
        "name_prefix": "Mrs.",
        "credential": "M.S.,L.D.N.,R.D.,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR NUMBER",
            "identifier": "16541",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1095",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "BRIDGES",
            "middle_name": "FELTON",
            "prefix": "MRS.",
            "credential": "MS, LDN, RD, CDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bridges to Inc.
• Desiree Bridges
• Dural Bridges
• James Randal Bridges, MD
• Jessica Bridges
• Lauren Bridges
• Mariah Zoe-Erika Bridges
• Ronzee McIntyre Bridges, M.D.
• Shanequa Dejon Bridges
• Trelisa S Bridgewater

• All providers in Shreveport, LA
• Metabolic Nutrition Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.