Individual provider Active NPI

Bryan Lankford, APRN

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1043802606
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RNP250534 Issued in AZ
Practice address
2806 W Cactus Rd
Phoenix, AZ 85029-3364
Phone
(602) 607-4700
NPI assigned
Feb 5, 2021
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RNP250534 AZ Primary

Addresses

Primary practice location

2806 W Cactus Rd
Phoenix, AZ 85029-3364

Mailing address

2806 W Cactus Rd
Phoenix, AZ 85029-3364
Phone (602) 607-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241028002173 AZ Practitioner - Nurse Practitioner 3678006731 Reassigns benefits to 1 organization
I20241101002144 NV Practitioner - Nurse Practitioner 3678006731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP250534AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affect Therapeutics Inc CurrentSince Aug 1, 2024 Accepting new patients
Affect Therapeutics Inc PastSince Feb 23, 2025 Accepting new patients
Affect Therapeutics, Inc. PastSince Sep 13, 2024 Accepting new patients

Locations

8880 E Speedway Blvd
Tucson, AZ 85710

8880 E Speedway Blvd
Ste 203
Tucson, AZ 85710
Phone (323) 601-0900

3620 N Rancho Dr
Ste 107
Las Vegas, NV 89130
Phone (702) 499-0379

1640 Boro Pl
Fl 4
Tysons, VA 22102
Phone (571) 400-2860

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1043802606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293364",
            "telephone_number": "602-607-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293364",
            "telephone_number": "602-607-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKFORD",
        "first_name": "BRYAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RNP250534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.