Individual provider Active NPI

Bryant Collier Shurley, APRN

  • Adult Health Nurse Practitioner
  • Land O' Lakes, FL
National Provider Identifier
1316570161
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11006168 Issued in FL
Practice address
2061 Collier Pkwy
Land O Lakes, FL 34639-5202
Phone
(813) 501-8201
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11006168 FL Primary

Addresses

Primary practice location

2061 Collier Pkwy
Land O Lakes, FL 34639-5202

Mailing address

31106 Chatterly Dr
Wesley Chapel, FL 33543-6813
Phone (832) 524-0204

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
I20200731000256 FL Practitioner - Nurse Practitioner 4183049612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006168FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfside Palliative Care, LLC CurrentSince Jul 1, 2020 Accepting new patients
Gulfside Hospice, Inc. PastSince Jul 1, 2020 Accepting new patients

Locations

2061 Collier Pkwy
Land O Lakes, FL 34639
Phone (727) 845-5707

6630 Kentucky Ave
New Port Richey, FL 34653
Phone (727) 849-6939

6117 Trouble Creek Rd
New Prt Rchy, FL 34653
Phone (727) 845-5707

5760 Dean Dairy Rd
Zephyrhills, FL 33541
Phone (813) 377-1265

Organizations & group practices 2

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1316570161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31106 CHATTERLY DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436813",
            "telephone_number": "832-524-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395202",
            "telephone_number": "813-501-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURLEY",
        "first_name": "BRYANT",
        "middle_name": "COLLIER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11006168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.