Individual provider Active NPI

Jennifer Lee Bryant, FNP

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1346819950
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R238476 Issued in MD
Practice address
9608 Boundless Shade Ter
Laurel, MD 20723-1490
Phone
(443) 774-8259
Fax
(443) 214-0542
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R238476 MD Primary

Addresses

Primary practice location

9608 Boundless Shade Ter
Laurel, MD 20723-1490

Mailing address

9608 Boundless Shade Ter
Laurel, MD 20723-1490
Phone (443) 774-8259

Other identifiers 1

IdentifierTypeStateIssuer
88-3395270OtherMD88-3395270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221115001743 DC Practitioner - Nurse Practitioner 1759759210 Reassigns benefits to 1 organization
Practice locations: Laurel, MD
I20250422001802 MD Practitioner - Nurse Practitioner 1759759210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innerve8 Medical LLCGroup PAC ID 1658723622, 2 clinicians

Practice addresses (Care Compare)

2034 Eisenhower Ave
Suite 100
Alexandria, VA 22314-5301
Phone (703) 739-0500

9608 Boundless Shade Ter
Laurel, MD 20723-1490
Phone (443) 774-8259

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innerve8 Medical LLC CurrentSince Mar 18, 2025 Accepting new patients
Serenity Center for Health & Wellness CurrentSince Mar 2, 2025 Accepting new patients

Locations

14280 Baltimore Ave
Laurel, MD 20707
Phone (240) 565-9022

2034 Eisenhower Ave
Ste 100
Alexandria, VA 22314
Phone (703) 739-0500

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1346819950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 BOUNDLESS SHADE TER",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231490",
            "telephone_number": "443-774-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 BOUNDLESS SHADE TER",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231490",
            "telephone_number": "443-774-8259",
            "fax_number": "443-214-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R238476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "88-3395270",
            "identifier": "88-3395270",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.