Individual provider Active NPI

Kristina Anne Bryant, NP

  • Family Nurse Practitioner
  • Wadesville, IN
National Provider Identifier
1184092819
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013299 Issued in IL
Practice address
4922 Hwy 165
Wadesville, IN 47638
Phone
(888) 492-8722
Fax
(812) 485-2904
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 209013299 IL Primary

Addresses

Primary practice location

4922 Hwy 165
Wadesville, IN 47638

Mailing address

1112 Oak St
Carmi, IL 62821-1344
Phone (888) 492-8722

Other practice location 1

1112 Oak St
Carmi, IL 62821-1344
Phone (888) 492-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Inc Past Accepting new patients

Organizations & group practices 1

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1184092819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211344",
            "telephone_number": "888-492-8722",
            "fax_number": "812-485-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 HWY 165",
            "city": "WADESVILLE",
            "state": "IN",
            "postal_code": "47638",
            "telephone_number": "888-492-8722",
            "fax_number": "812-485-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Oak St",
            "address_purpose": "LOCATION",
            "city": "Carmi",
            "state": "IL",
            "postal_code": "628211344",
            "country_code": "US",
            "telephone_number": "888-492-8722",
            "fax_number": "812-485-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KRISTINA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.