Individual provider Active NPI

Bridget Jablonski, RN

  • Registered Nurse
  • Cave Creek, AZ
National Provider Identifier
1851048284
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN104191 Issued in AZ
Practice address
6020 E Calle de Pompas
Cave Creek, AZ 85331-2509
Phone
(480) 877-0037
Fax
(855) 930-1406
NPI assigned
Mar 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Registered Nurse 163W00000X RN104191 AZ Primary

Addresses

Primary practice location

6020 E Calle de Pompas
Cave Creek, AZ 85331-2509

Mailing address

29455 N. Cave Creek Rd. Ste 118 # 470
Cave Creek, AZ 85331
Phone (480) 877-0037

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN104191AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Link, LLC Case Manager/Care Coordinator CurrentSince Mar 13, 2022 Accepting new patients

Locations

29455 N Cave Creek Rd
Ste 118
Cave Creek, AZ 85331
Phone (602) 996-5595

Organizations & group practices 1

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": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1851048284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29455 N. CAVE CREEK RD. STE 118 # 470",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "85331",
            "telephone_number": "480-877-0037",
            "fax_number": "855-930-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 E CALLE DE POMPAS",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312509",
            "telephone_number": "480-877-0037",
            "fax_number": "855-930-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKI",
        "first_name": "BRIDGET",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN104191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.