Amy D Bryant, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001367 Issued in NY

Practice address

401 S Main St
Canandaigua, NY 14424-2126

Phone

(585) 683-9235

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1194361394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 HEATHER LN",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144257040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242126",
            "telephone_number": "585-683-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC",
            "identifier": "020002024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren Nicole Brown, MS,RDN,CDN
• Nancy A Brown, MD
• Rachel Catherine Brown
• Krista Brunner, MS, OTR/L
• Halie Bryan
• Rachel A Bryant, PSYD
• Timothy J Bucklaew, PA
• Colleen L Buckley, LMSW
• Sean Buckley, AT
• Lynsey J. Buckner, CTRS

• Athletic Trainer in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.