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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2024.

{
    "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

All providers in Plumerville, AR · Student in an Organized Health Care Education/Training Program in Arkansas

Sources for this page

Verify at the official NPI Registry.