Bridgette Fonda Montford

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

92698 Issued in FL

Practice address

1253 Mitchell St
Lakeland, FL 33801-2132

Phone

(863) 838-6321

NPI assigned

Feb 23, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1942767249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 MITCHELL ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012132",
            "telephone_number": "863-838-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 MITCHELL ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012132",
            "telephone_number": "863-838-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTFORD",
        "first_name": "BRIDGETTE",
        "middle_name": "FONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "92698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Montenegro, MD
• Salvador Orlando Montenegro, MD
• Idalis Montero
• Jennifer Montero
• Angelica Monteverde, PSYD
• Elizabeth Rene' Montgomery, CRPS-A
• Shacoya Montgomery
• Eric Javares Moody
• Nancy Moody, PA
• Patricia N Moody, M.D.

• Nurse's Aide in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.