Individual provider Active NPI

Connie S Brider, RN, APRN,ACM-RN

  • Case Management Registered Nurse
  • Kenner, LA
National Provider Identifier
1871231332
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
AP02379 Issued in LA
Practice address
344 Plantation Dr
Kenner, LA 70062-7031
Phone
(504) 858-3731
NPI assigned
May 24, 2022
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X AP02379 LA Primary

Addresses

Primary practice location

344 Plantation Dr
Kenner, LA 70062-7031

Mailing address

344 Plantation Dr
Kenner, LA 70062-7031
Phone (504) 858-3731

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
AP02379LAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1871231332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 PLANTATION DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627031",
            "telephone_number": "504-858-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 PLANTATION DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627031",
            "telephone_number": "504-858-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDER",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "RN, APRN,ACM-RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "LA",
            "license": "AP02379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.