Tamara Suzette Bryson, REGISTERED NURSE

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN308579 Issued in OH

Practice address

1475 Blackmore Rd
Cleveland Heights, OH 44118-1314

Phone

(216) 312-5857

NPI assigned

Jul 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1063145795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BLACKMORE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181314",
            "telephone_number": "216-312-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BLACKMORE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181314",
            "telephone_number": "216-312-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "TAMARA",
        "middle_name": "SUZETTE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN308579",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN308579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Brown, RN
• Latisha Lanell Brown
• Simone Brumfield, RN
• Daniel Joshua Brustein, M.D.
• Milvon Bryson
• Pamela D Buckingham
• Robert Bufford Jr.
• Christie Lynn Bunch, LSW,LICDC
• Derick Burke
• Patrick C Burke

• Addiction (Substance Use Disorder) Registered Nurse in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.