Active NPI
Orjanette Marie Cooper-Bryant, APRN
- Family Nurse Practitioner
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11004004
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 3079412 | FL | |
| Family Nurse Practitioner | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 3079412 | FL | MD | Registered Nurse |
| APRN11004004 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Docs | Multi-Specialty | Current | Accepting new patients |
| Primary Care of Orange City LLC | Multi-Specialty | Current | Accepting new patients |
| Mana Health Partners PA | Multi-Specialty | Current | Accepting new patients |
| Shekinah Health & Wellness Center, LLC | Multi-Specialty | Current | Accepting new patients |
| Primary Care of Orange City LLC | Multi-Specialty | Current | 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
- 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.
-
- Family Medicine Physician
- Orange City, FL
- NPI 1831615087
Multi-Specialty
-
- Family Medicine Physician
- Ormond Beach, FL
- NPI 1346719812
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.