Individual provider Active NPI

Bridget Marie Stull, CNA GNA

  • Nurse's Aide
  • Waynesboro, PA
National Provider Identifier
1871613752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00072880 Issued in MD
Practice address
33 Cumberland Valley Ave
Waynesboro, PA 17268-1203
Phone
(717) 977-6007
Fax
(717) 387-7053
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

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
A00072880MDMDNurse's Aide

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00072880 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

33 Cumberland Valley Ave
Waynesboro, PA 17268-1203

Mailing address

33 Cumberland Valley Ave
Waynesboro, PA 17268-1203
Phone (717) 977-6007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871613752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CUMBERLAND VALLEY AVE",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681203",
            "telephone_number": "717-977-6007",
            "fax_number": "717-387-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CUMBERLAND VALLEY AVE",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681203",
            "telephone_number": "717-977-6007",
            "fax_number": "717-387-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "BRIDGET",
        "middle_name": "MARIE",
        "credential": "CNA GNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00072880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.