Sandy Lee Bryant, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

288528 Issued in FL

Practice address

4518 Alligator Flag Cir
West Melbourne, FL 32904-8199

Phone

(615) 648-1278

NPI assigned

Apr 10, 2021

Sex

Male

Sole proprietor

Yes

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": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1295315679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 ALLIGATOR FLAG CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048199",
            "telephone_number": "615-648-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 ALLIGATOR FLAG CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048199",
            "telephone_number": "615-648-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SANDY",
        "middle_name": "LEE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "288528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Brong, OTR/L
• Brookdale Senior Living Communities, Inc. (Brookdale West Melbourne)
• Brookdale Senior Living Communities, Inc. (Brookdale West Melbourne)
• Brookdale Senior Living Communities, Inc. (Brookdale West Melbourne)
• Kimberly Brubaker, PHARMD
• Alyssa Buchanan, LCSW
• Donald Buser
• Jason Bustelo
• BV Assisted Living, Inc.
• Cancer Care Centers of Brevard Inc

• Nurse's Aide in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.