Individual provider Active NPI

Orjanette Marie Cooper-Bryant, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1013034388
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004004 Issued in FL
Practice address
26 N Beach St Ste C
Ormond Beach, FL 32174-5656
Phone
(386) 506-9994
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 3079412 FL
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11004004 FL Primary

Addresses

Primary practice location

26 N Beach St Ste C
Ormond Beach, FL 32174-5656

Mailing address

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 447-5989

Other practice location 1

60 Memorial Medical Parkway
Palm Coast, FL 32164-8462
Phone (386) 447-5989

Other practice location 2

2561 Moody Blvd Ste 100
Flagler Beach, FL 32136-4404
Phone (386) 227-7303

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
I20210809001982 FL Practitioner - Nurse Practitioner 4789088055 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 3079412FLMDRegistered Nurse
APRN11004004FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Docs Multi-Specialty CurrentSince Feb 18, 2025 Accepting new patients
Primary Care of Orange City LLC Multi-Specialty CurrentSince Feb 18, 2025 Accepting new patients
Mana Health Partners PA Multi-Specialty CurrentSince Sep 3, 2024 Accepting new patients
Shekinah Health & Wellness Center, LLC Multi-Specialty CurrentSince Apr 28, 2021 Accepting new patients
Primary Care of Orange City LLC Multi-Specialty CurrentSince Feb 18, 2025 Accepting new patients

Locations

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

135 E Minnesota Ave
Orange City, FL 32763
Phone (386) 241-0274

325 Clyde Morris Blvd
Ste 430
Ormond Beach, FL 32174
Phone (386) 206-2929

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137
Phone (386) 446-6060

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1013034388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MEMORIAL MEDICAL PKWY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645980",
            "telephone_number": "386-447-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N BEACH ST STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745656",
            "telephone_number": "386-506-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Memorial Medical Parkway",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321648462",
            "country_code": "US",
            "telephone_number": "386-447-5989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2561 Moody Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flagler Beach",
            "state": "FL",
            "postal_code": "321364404",
            "country_code": "US",
            "telephone_number": "386-227-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER-BRYANT",
        "first_name": "ORJANETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-03-22",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 3079412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.