Betty C Bridges, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001070479 Issued in VA

Practice address

12602 Reed Rock Rd
Amelia Court House, VA 23002-5809

Phone

(804) 561-4516

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1871848101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 REED ROCK RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230025809",
            "telephone_number": "804-561-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 REED ROCK RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230025809",
            "telephone_number": "804-561-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "BETTY",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001070479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• At Home Primary Care PLLC
• Mary F Basco, MD
• Amy Bivens
• Board of Supervisors of Amelia Co
• Shannon Nicole Booker, P.T.
• Carl Henry Brown Jr.
• Tanisha Lanee Brown
• Terry Brown, AGPCNP, CFCS
• Mary Ann Carraway, REGISTERED NURSE
• Megan Cary, OTR

• Registered Nurse in Amelia Court House, VA
• Providers in Amelia Court House, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.