1275637522 NPI number — DR. BARBARA LATINIS BRIDGES ARNP ED D

Table of content: DR. BARBARA LATINIS BRIDGES ARNP ED D (NPI 1275637522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275637522 NPI number — DR. BARBARA LATINIS BRIDGES ARNP ED D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRIDGES
Provider First Name:
BARBARA
Provider Middle Name:
LATINIS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
ARNP ED D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275637522
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6931 CHARLOTTE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHAWNEE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66216-3926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-631-9176
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10875 GRANDVIEW ST
Provider Second Line Business Practice Location Address:
BLDG 22, SUITE 2200
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66210-1510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-345-0060
Provider Business Practice Location Address Fax Number:
913-345-0090
Provider Enumeration Date:
09/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  44482 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com