Kate Teresa O'Bryan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5129 Issued in KY

Practice address

714 Lyndon LN Ste 6
Louisville, KY 40222-4643

Phone

(502) 296-2205

NPI assigned

Jan 25, 2018

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1275031106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 PRINCETON DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051855",
            "telephone_number": "502-296-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LYNDON LN STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224643",
            "telephone_number": "502-296-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYAN",
        "first_name": "KATE",
        "middle_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "KY",
            "license": "5129",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly O'Brien, COTA/L
• Kelly Lynn O'Bryan Buszkiewicz, LCSW, LCADC
• Amanda O'Bryan
• Amy P O'Bryan, OTR/L
• Brooke-Anne Armstrong O'Bryan, SRNA
• Kevin W O'Bryan, MD
• Stuti Ramendra O'Bryan, OTR
• Amy Marie O'Connell, APRN
• Jessica O'Connell, PHARMD
• Dennis O'Connor IV, M.D.

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.