Individual provider Active NPI

Lisa Carol Bryant, MSN,FNP-BC

  • Family Nurse Practitioner
  • Jefferson City, TN
National Provider Identifier
1043993439
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34315 Issued in TN
Practice address
657 E Broadway Blvd Ste C
Jefferson City, TN 37760-4949
Phone
(865) 475-9062
NPI assigned
Aug 10, 2023
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 34315 TN Primary

Addresses

Primary practice location

657 E Broadway Blvd Ste C
Jefferson City, TN 37760-4949

Mailing address

657 E Broadway Blvd Ste C
Jefferson City, TN 37760-4949
Phone (865) 475-9062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20241016004103 TN Practitioner - Nurse Practitioner 5698207587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Morristown, TN 37813-2282

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34315TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 15, 2024 Accepting new patients
Healthstar Physicians, P.C. CurrentSince Aug 8, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 29, 2024 Accepting new patients
Healthstar Physicians PC CurrentSince Aug 8, 2025 Accepting new patients
Healthstar Physicians PC PastSince Aug 17, 2025 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients

Locations

7234 Tazewell Pike
Corryton, TN 37721
Phone (865) 213-7132

657 E Broadway Blvd
Ste A
Jefferson City, TN 37760
Phone (865) 475-3101

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

2030 Falling Waters Rd
Ste 325
Knoxville, TN 37922
Phone (865) 951-1300

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: lisa.bryant.1@3525.direct.athenahealth.com

Organizations & group practices 7

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1043993439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD STE C",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604949",
            "telephone_number": "865-475-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD STE C",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604949",
            "telephone_number": "865-475-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "credential": "MSN,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.