Individual provider Active NPI

Christa Shawn Bryant, APRN NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1043661200
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.020382 Issued in OH
Practice address
8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone
(513) 658-1261
Fax
(513) 942-9500
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020382 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.020382 OH Primary

Addresses

Primary practice location

8614 Shepherd Farm Dr
West Chester, OH 45069-1128

Mailing address

8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone (513) 942-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170523002948 OH Practitioner - Nurse Practitioner 2163704867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beckett Springs Physician Group LLCGroup PAC ID 1951624097, 9 clinicians

Practice addresses (Care Compare)

8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone (513) 942-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beckett Springs Physician Group LLC CurrentSince Aug 23, 2017 Accepting new patients
Beckett Springs Physician Group LLC Family CurrentSince Aug 23, 2017 Accepting new patients
Sycamore Springs Physician Group LLC Family Past Accepting new patients

Locations

7909 Schatz Pointe Dr
Dayton, OH 45459
Phone (937) 802-2150

8614 Shepherd Farm Dr
West Chester, OH 45069
Phone (513) 942-9500

Organizations & group practices 3

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1043661200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 SHEPHERD FARM DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691128",
            "telephone_number": "513-942-9500",
            "fax_number": "513-942-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 SHEPHERD FARM DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691128",
            "telephone_number": "513-658-1261",
            "fax_number": "513-942-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CHRISTA",
        "middle_name": "SHAWN",
        "name_prefix": "Mrs.",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020382",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.020382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.