Kathyann Cynthelese Bryant, LSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

10133 Irvington Blvd
Houston, TX 77076-4412

Phone

(832) 428-7532

Fax

(832) 602-2638

NPI assigned

Jan 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olton Surgical Services, LLC

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1912353905

  Massage Therapist

  NPD Authorized official

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1285871053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772541602",
            "telephone_number": "832-428-7532",
            "fax_number": "832-602-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 IRVINGTON BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764412",
            "telephone_number": "832-428-7532",
            "fax_number": "832-602-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KATHYANN",
        "middle_name": "CYNTHELESE",
        "name_prefix": "Ms.",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT034925",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00606",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - OLTON SURGICAL SERVICES, LLC",
            "identifier": "00P07U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "SA00606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn William Bryant III, MD
• Hailey Nicole Bryant
• Heather Danielle Bryant, D.D.S
• Johnny Bryant, REVERAND
• Jordan O'Ryan Bryant, RPH
• Keierica Bryant
• Kenneth W Bryant, M.D.
• Lashuntavous Bryant, RBT
• Latonya Bryant, LCSW
• Lauren Bryant, OTR

• All providers in Houston, TX
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.