1. Home
  2. Directory
  3. Florida
  4. Fernandina Beach
  5. Specialist Technologist
  6. NPI Profile

KARISA BRIDWELL
NPI 1912354960
Specialist/Technologist in Fernandina Beach, FL

Active since May 19, 2016
96102 MARSH LAKES DR, FERNANDINA BEACH, FL 32034(904) 556-6120 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karisa Bridwell NPPES

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

KARISA BRIDWELL (NPI 1912354960) is an individual specialist/technologist in Fernandina Beach, Florida and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1912354960
Entity TypeIndividualFemale
Primary Taxonomy235500000X
Provider Legal NameKARISA BRIDWELL
Location Address96102 MARSH LAKES DRFernandina Beach, FL 32034-6877
Mailing Address96102 Marsh Lakes DrFernandina Beach, FL 32034-6877 · (904) 556-6120
Phone(904) 556-6120
Sole ProprietorYes
Enumeration DateMay 19, 2016
✔ NPI 1912354960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/TechnologistSpeech, Language and Hearing Service Providers
Taxonomy Code235500000X
Definition
General classification identifying speech, language and hearing services individuals who are trained on a specific piece of equipment or technical procedure.
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
96102 MARSH LAKES DR, Fernandina Beach, FL 32034
Open in Google Maps ↗

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 Karisa Bridwell's NPI number?

The NPI number for Karisa Bridwell is 1912354960. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Karisa Bridwell located?

Karisa Bridwell practices at 96102 Marsh Lakes Dr, Fernandina Beach, FL 32034. The listed phone number is (904) 556-6120.

What is Karisa Bridwell's specialty?

The primary specialty registered for this NPI is Specialist/Technologist with taxonomy code 235500000X.

When was this NPI record last updated?

The NPPES record for Karisa Bridwell was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.