Keisha Bryan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

676237 Issued in NY

Practice address

128 Quincy St
Brooklyn, NY 11216-1314

Phone

(347) 262-7218

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1104276856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 QUINCY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161314",
            "telephone_number": "347-262-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 QUINCY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161314",
            "telephone_number": "347-262-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KEISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "676237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Kay Bryan-Walters
• Ashley Olivia Bryan, PSYD
• Daniella Ariana Bryan, AUD
• Dorrett R Bryan, FNP/DNP
• Ebele Bryan, LCSW
• Mary Elizabeth Bryan, LMSW
• Michelle Bryan, NP
• Pamela Bryan
• Regina Bryan, LMSW
• Samantha Bryan

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.