Individual provider Active NPI

Joanna K Bryant, RD

  • Registered Dietitian
  • Anchorage, AK
National Provider Identifier
1225547813
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
297 Issued in AK
Practice address
2651 Debarr Road, Suite 250
Alaska Regional Hospital Health Management Center
Anchorage, AK 99508
Phone
(907) 264-2038
Fax
(866) 538-0773
NPI assigned
Sep 26, 2017
Last updated
Sep 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 297 AK Primary

Addresses

Primary practice location

2651 Debarr Road, Suite 250
Alaska Regional Hospital Health Management Center
Anchorage, AK 99508

Mailing address

2751 Debarr Road, Suite 250
Alaska Regional Hospital Health Management Center
Anchorage, AK 99508
Phone (907) 264-2038

Other names 1

  • Miss Joanna K Koniditsiotes Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1225547813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 DEBARR ROAD, SUITE 250",
            "address_2": "ALASKA REGIONAL HOSPITAL HEALTH MANAGEMENT CENTER",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-264-2038",
            "fax_number": "866-538-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 DEBARR ROAD, SUITE 250",
            "address_2": "ALASKA REGIONAL HOSPITAL HEALTH MANAGEMENT CENTER",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-264-2038",
            "fax_number": "866-538-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JOANNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "KONIDITSIOTES",
            "middle_name": "K",
            "prefix": "MISS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.