Healthcare Provider Details

I. General information

NPI: 1881521136
Provider Name (Legal Business Name): SHELBY BRIDGES APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 EASTERN BYP STE 201
RICHMOND KY
40475-2751
US

IV. Provider business mailing address

9405 GUTENBERG RD
LOUISVILLE KY
40291-4102
US

V. Phone/Fax

Practice location:
  • Phone: 859-624-2229
  • Fax:
Mailing address:
  • Phone: 502-991-2285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number4056178
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: