Newbridge Clinic P.a.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

NEWBRIDGE CLINIC P.A.

Practice address

8200 Humboldt Ave S
Bloomington, MN 55431-1433

Phone

(612) 730-2237

Fax

(206) 338-2186

NPI assigned

Aug 29, 2009

Organization subpart

No

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

Authorized official

Name

Stephanie A Belseth, CNP

Title

Director

Phone

(612) 730-2237

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251504000000",
    "number": "1972736577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311433",
            "telephone_number": "612-730-2237",
            "fax_number": "206-338-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311433",
            "telephone_number": "612-730-2237",
            "fax_number": "206-338-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2009-08-29",
        "status": "A",
        "authorized_official_last_name": "BELSETH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-730-2237",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Nurse Practitioner in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; 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.