Bridge Wellness and Acupuncture Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BRIDGE WELLNESS AND ACUPUNCTURE INC

Practice address

900 S Eliseo Dr Ste 104
Greenbrae, CA 94904-2152

Phone

(415) 676-1832

NPI assigned

Jan 10, 2025

Last updated

Jan 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Amanda C Sullivan Antonetti, LAC

Title

Owner

Phone

(415) 676-1832

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Clare Sullivan, LAC

  • Acupuncturist
  • Greenbrae, CA
  • NPI 1447208491
  NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1861202863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S ELISEO DR STE 104",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042152",
            "telephone_number": "415-676-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ELISEO DR STE 104",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042152",
            "telephone_number": "415-676-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE WELLNESS AND ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN ANTONETTI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-676-1832",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447208491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Bravo Quinarez
• Carolyn Rayburn Bravo, CNM
• Danielle Brenes, LCSW
• Lauren Brown Brenner, LCSW
• Brian E Demuth MD a Professional
• Crystal Ann Brierton, MA CCC-SLP
• Austin Brink, LCSW
• Marcella Louise Brink, PH.D.
• Erika Lore Brinson, M.D.
• Susan Britt, RN

• Acupuncturist in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.