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BRIDGET LEE CONNELLY
NPI 1821696014
Student in an Organized Health Care Education/Training Program in Portales, NM

Active since October 12, 2020
1500 S AVENUE K, STATION 3, SHROC, PORTALES, NM 88130(575) 562-2160 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridget Lee Connelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGET LEE CONNELLY (NPI 1821696014) is an individual student in an organized health care education/training program in Portales, New Mexico and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1821696014
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRIDGET LEE CONNELLY
Location Address1500 S AVENUE K, STATION 3, SHROCPortales, NM 88130
Mailing Address1500 S Avenue K, Station 3, ShrocPortales, NM 88130
Phone(575) 562-2160
Sole ProprietorNo
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1821696014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 S AVENUE K, Portales, NM 88130
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELA BACA
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (505) 927-8228
JUSTIN R ENNIS
Emergency Medicine (Sports Medicine)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (760) 525-2087
JAMES WILLIAM LOVELL
Speech-Language Pathologist
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (575) 562-4232
EASTERN NEW MEXICO UNIVERSITY
Speech-Language Pathologist
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (972) 367-4845
DESIREE MARIE DURRETT
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (575) 562-2160
DR. TARRAH BISCH ED. D.
Specialist/Technologist (Athletic Trainer)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (575) 562-2153
EVELYN BEARDSLEY
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (575) 562-2160
BRIANNA LYNN KAUFFMANN LAT, ATC
Specialist/Technologist (Athletic Trainer)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (800) 367-3668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridget Connelly's NPI number?

The NPI number for Bridget Connelly is 1821696014. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Bridget Connelly located?

Bridget Connelly practices at 1500 S Avenue K Station 3, Shroc, Portales, NM 88130. The listed phone number is (575) 562-2160.

What is Bridget Connelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bridget Connelly was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.