Individual provider Active NPI

Lindsey Bryan

  • Family Nurse Practitioner
  • Cambridge, OH
National Provider Identifier
1194118240
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17015-NP Issued in OH
Practice address
1337 Clark St
Cambridge, OH 43725-9614
Phone
(740) 432-2313
NPI assigned
Mar 13, 2015
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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 COA.17015-NP OH Primary

Addresses

Primary practice location

1337 Clark St
Cambridge, OH 43725-9614

Mailing address

1251 Clark St
Cambridge, OH 43725-9612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150511000153 OH Practitioner - Nurse Practitioner 0345569596 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Associates Urgent Care and Wellness Center, LLC CurrentSince Dec 15, 2021 Accepting new patients
Kno-Ho-Co-Ashland Community Action Commission Past Accepting new patients

Locations

416 Front St
Marietta, OH 45750
Phone (740) 236-4131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18451/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1194118240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259614",
            "telephone_number": "740-432-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17015-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.