Individual provider Active NPI

Lynette Whaley Bryant

  • Family Nurse Practitioner
  • Saint Cloud, FL
National Provider Identifier
1003464215
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003879 Issued in FL
Practice address
3100 17TH St Ste a
Saint Cloud, FL 34769-6021
Phone
(407) 892-0009
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003879 FL Primary

Addresses

Primary practice location

3100 17TH St Ste a
Saint Cloud, FL 34769-6021

Mailing address

5700 N Canoe Creek Rd
Kenansville, FL 34739-9781

Other practice location 1

2801 13th St
Saint Cloud, FL 34769-4134
Phone (407) 483-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901003504 FL Practitioner - Nurse Practitioner 9931505708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice-St Cloud, Inc.Group PAC ID 3274432521, 4 clinicians

Practice addresses (Care Compare)

3100 17TH St
Suite a
Saint Cloud, FL 34769-6021
Phone (407) 891-3500

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Kissimmee, FL, CCN 107422
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003879FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice-St Cloud, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Mango Wellness LLC CurrentSince Jul 11, 2025 Accepting new patients

Locations

3100 17th St
Ste A
Saint Cloud, FL 34769
Phone (407) 891-3500

2801 13th St
Saint Cloud, FL 34769
Phone (407) 593-2958

3100 17th St
Saint Cloud, FL 34769
Phone (407) 891-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDEAD/Endpoint/EEDEAD
  • Direct secure messaging: lynette.bryant@pfp2.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1003464215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N CANOE CREEK RD",
            "city": "KENANSVILLE",
            "state": "FL",
            "postal_code": "347399781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 17TH ST STE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696021",
            "telephone_number": "407-892-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 13th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347694134",
            "country_code": "US",
            "telephone_number": "407-483-3571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LYNETTE",
        "middle_name": "WHALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.