Individual provider Active NPI

Bridget Johnson-Fells

  • Respite Care
  • Gulfport, MS
National Provider Identifier
1851506356
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
06258738 Issued in MS
Practice address
10480 Klein Rd
Suite 182
Gulfport, MS 39503-3511
Phone
(228) 328-4471
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 00770492 MS
Respite Care 385H00000X 06258738 MS Primary

Addresses

Primary practice location

10480 Klein Rd
Suite 182
Gulfport, MS 39503-3511

Mailing address

10480 Klein Road
Suite 182
Gulfport, MS 39503-3518
Phone (228) 328-4471

Other identifiers 2

IdentifierTypeStateIssuer
00770492MedicaidMS
06258738MedicaidMS

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

State licenses

LicenseStateTypeSpecialty
00770492MSMDHomemaker
06258738MSMDRespite Care

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851506356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10480 KLEIN ROAD",
            "address_2": "SUITE 182",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033518",
            "telephone_number": "228-328-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10480 KLEIN RD",
            "address_2": "SUITE 182",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033511",
            "telephone_number": "228-328-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-FELLS",
        "first_name": "BRIDGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MS",
            "license": "00770492",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": "06258738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770492",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06258738",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.