Individual provider Active NPI

Bridget Henry, PMHMP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1902612989
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11036776 Issued in FL
Practice address
2230 Venetian CT Ste 1
Naples, FL 34109-8727
Phone
(239) 690-6906
NPI assigned
Dec 5, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11036776 FL Primary
Pediatric Registered Nurse 163WP0200X RN9452806 FL

Addresses

Primary practice location

2230 Venetian CT Ste 1
Naples, FL 34109-8727

Mailing address

3752 Costa Maya Way
Estero, FL 33928-2129
Phone (773) 547-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250109000251 FL Practitioner - Nurse Practitioner 8628506342 Reassigns benefits to 1 organization
I20260604001001 IL Practitioner - Nurse Practitioner 8628506342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Solutions, IncGroup PAC ID 9638535354, 25 clinicians

Practice addresses (Care Compare)

14489 John Humphrey Dr
Suite 202
Orland Park, IL 60462-2692
Phone (630) 607-0387

2230 Venetian CT
Suite 1
Naples, FL 34109-8727
Phone (239) 236-5448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9452806FLMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC CurrentSince Dec 31, 2024 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Dec 31, 2024 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

2230 Venetian Ct
Ste 1
Naples, FL 34109
Phone (239) 236-5448

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: bridget.henry.1@13142.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1902612989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 COSTA MAYA WAY",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339282129",
            "telephone_number": "773-547-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 VENETIAN CT STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098727",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRIDGET",
        "credential": "PMHMP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11036776",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "FL",
            "license": "RN9452806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.