Bridgette Reid
Nurse Practitioner, Psych/Mental Health in Kissimmee, FL. Individual provider (NPI-1).
NPI number1962035634
StatusActive
Last updated in NPPESAug 13, 2026
Details
- NPI
- 1962035634
- Entity type
- Individual (NPI-1)
- Name
- Bridgette Reid
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2020
- Certification date
- Aug 13, 2026
- Last updated
- Aug 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 11005579 | FL | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 11005579 | FL |
Practice location
1101 Miranda Ln Ste 131Kissimmee, FL 34741-0771
Phone 689-333-0303
Mailing address
2505 Blowing Breeze AveKissimmee, FL 34744-6157
Phone 914-450-2717
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 80 Psychiatric/Mental Health Nurse Practitioner providers in Kissimmee · All 7,630 providers in Kissimmee
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