Caren K Bryant, CDE, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

041-269570 Issued in IL

Practice address

751 N Rutledge St
Ste 2300
Springfield, IL 62702-4968

Phone

(217) 545-3821

Fax

(217) 545-9125

NPI assigned

Aug 17, 2011

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 names 1

• Caren K Jatho Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1245510643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19644",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949644",
            "telephone_number": "217-545-3821",
            "fax_number": "217-545-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST",
            "address_2": "STE 2300",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024968",
            "telephone_number": "217-545-3821",
            "fax_number": "217-545-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CAREN",
        "middle_name": "K",
        "credential": "CDE, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041-269570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREN",
            "last_name": "JATHO",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell Bruney, MD
• Harold Jay Bruninga, M.D.
• Lori L Bruntjen-Carter, CRNA
• Katie Bruntjen, MS, CCC-SLP
• Parker Lynnwood Brush, MD
• Kelli A. Bryant, MPT
• Shadi Bsat, MD
• Andrew Buchheit, MD
• Abigail Rose Buckholz, MD
• Emily Buckley, CRNA

• Diabetes Educator Registered Nurse in Springfield, IL
• Providers in Springfield, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.