Juanita Gae Bridges

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

6969 Issued in HI

Practice address

50 Puu Anoano St Apt 3201
Lahaina, HI 96761-1965

Phone

(808) 870-8367

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 2024By the provider in NPPES

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1952163248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10244",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967610244",
            "telephone_number": "808-870-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PUU ANOANO ST APT 3201",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611965",
            "telephone_number": "808-870-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JUANITA",
        "middle_name": "GAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "6969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Bolanos, LMT
• Steven Borenstein, R.PH.
• Lillian Boyd
• Madeleine Brath
• Rachel Breitweser
• Bridgette Grant LCSW LLC
• Helen M Brown, LMT
• Tyler Michael Brown, DMD
• Amanda Valerie Burns, D.C.
• Lisa Gail Cacal

• Athletic Trainer in Lahaina, HI
• Providers in Lahaina, HI by specialty
• Athletic Trainer in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.