Kristin Marie Bryan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2304210 Issued in MA

Practice address

89 Brentwood Rd
Tewksbury, MA 01876-1202

Phone

(978) 332-0514

NPI assigned

Dec 1, 2017

Last updated

Dec 1, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1215442058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BRENTWOOD RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761202",
            "telephone_number": "978-332-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BRENTWOOD RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761202",
            "telephone_number": "978-332-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2304210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Brooks, DPT, PT
• Stephanie McCarthy Brooks, DMD
• Jeffrey Brown, PA-C
• Kathleen Brown, NP
• Mukumbi Charity Brown, N.P.
• Teresita M Buenaventura, M.D.
• Kelvin W Bullock
• David Burgos, DPT
• Julie A Burke, LICSW
• Karen Elizabeth Burns

• Registered Nurse in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.