Active NPI
Saovarot K Bryant, ANP
- Adult Health Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1184879413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2005040460
- Practice address
- 1027 Bellevue Ave
Suite 200
Saint Louis, MO 63117-1851 - Phone
- (314) 645-6450
- Fax
- (314) 645-2560
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2005040460 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 2005040460 | MO | Primary |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 2005040460 | MO |
Addresses
Primary practice location
1027 Bellevue Ave
Suite 200
Saint Louis, MO 63117-1851
Mailing address
12855 N. Forty Drive
Suite 300
St. Louis, MO 63141-8666
Phone (314) 880-6100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005040460 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Heart Group of St. Louis, 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.
-
- Specialist
- Festus, MO
- NPI 1487650545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1184879413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N. FORTY DRIVE",
"address_2": "SUITE 300",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631418666",
"telephone_number": "314-880-6100",
"fax_number": "314-997-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 BELLEVUE AVE",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171851",
"telephone_number": "314-645-6450",
"fax_number": "314-645-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "SAOVAROT",
"middle_name": "K",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2005040460",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2005040460",
"primary": true
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "MO",
"license": "2005040460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.