Individual provider Active NPI

Barbara L Bryant, APRN

  • Nurse Practitioner
  • Jensen Beach, FL
National Provider Identifier
1306026877
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP7974 Issued in MN
Practice address
960 NW Fresco Way Apt 202
Jensen Beach, FL 34957-3546
Phone
(941) 204-3743
NPI assigned
Nov 13, 2007
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP7974 MN Primary
Family Nurse Practitioner 363LF0000X ARNP9268672 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP7974 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9268672 FL
Sports Medicine (Family Medicine) Physician 207QS0010X AP60485709 WA
Psychiatry Physician 2084P0800X CNP7974 MN

Addresses

Primary practice location

960 NW Fresco Way Apt 202
Jensen Beach, FL 34957-3546

Mailing address

10585 165TH St W
Lakeville, MN 55044-3531
Phone (952) 955-4110

Other practice location 1

10585 165th St W
Lakeville, MN 55044-3531
Phone (952) 955-4110

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9268672OtherFLLICENSE
CNP7974OtherMNMN LICENSE

Other names 1

  • Barbara L Bryant Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000346 FL Practitioner - Nurse Practitioner 3375617822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7974MNMDDentist
AP60485709WAMDSports Medicine (Family Medicine) Physician
CNP7974MNMDPsychiatry Physician
ARNP9268672FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Orlando Psychiatric Associates, P.a. Psychiatry CurrentSince Sep 11, 2018 Accepting new patients
Hello Sunshine Mental Health & Wellness Inc CurrentSince Oct 16, 2022 Accepting new patients
Multicare Health System Sports Medicine Past Accepting new patients
Take Care Health Services PA Nurse Practitioner Past Accepting new patients

Locations

1417 N Semoran Blvd
Ste 203
Orlando, FL 32807
Phone (407) 206-1106

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1306026877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443531",
            "telephone_number": "952-955-4110",
            "fax_number": "952-955-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 NW FRESCO WAY APT 202",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573546",
            "telephone_number": "941-204-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10585 165th St W",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550443531",
            "country_code": "US",
            "telephone_number": "952-955-4110",
            "fax_number": "952-955-7482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP7974",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9268672",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP7974",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9268672",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "AP60485709",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "CNP7974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP9268672",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN LICENSE",
            "identifier": "CNP7974",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BRYANT",
            "middle_name": "L",
            "credential": "APRN PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jensen Beach, FL

Sources for this page

Verify at the official NPI Registry.