Abigail Catherine Bridge, MS. SLP
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Plumerville, AR
NPI 1861224941 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1861224941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 101 Bulldog Dr
Plumerville, AR 72127-8803 - Phone
- (501) 345-2269
- NPI assigned
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
101 Bulldog Dr
Plumerville, AR 72127-8803
Mailing address
220 Merton Dr Apt 2
Conway, AR 72034-9245
Phone (501) 230-6616
NPI Registry JSON
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1861224941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 MERTON DR APT 2",
"city": "CONWAY",
"state": "AR",
"postal_code": "720349245",
"telephone_number": "501-230-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BULLDOG DR",
"city": "PLUMERVILLE",
"state": "AR",
"postal_code": "721278803",
"telephone_number": "501-345-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE",
"first_name": "ABIGAIL",
"middle_name": "CATHERINE",
"credential": "MS. SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plumerville, AR
- Amber Rene' Adams
- Arch Ford Education Cooperative
- Karen E. Bailey
- Linda Kaye Boyd
- Claire Elizabeth Bussey
- Samantha Carter
- Haley Copeland
- Rachel Mourot Creech
- Brittany Denton
All providers in Plumerville, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.