Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Bridget Martin-Slocum, ACNP-AG

Individual provider Nurse Practitioner · NPI 1912458563

Mrs. Bridget Martin-Slocum, ACNP-AG is a Nurse Practitioner in Ithaca, New York. Qualified in 2002, 24 years ago. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2016

Practice location Address checks out

201 Dates Dr Ste 301
Ithaca, NY 14850-1345
Phone: (607) 882-2277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 431039 (NY)

Record details

NPI number1912458563
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-AG
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Ithaca