Individual provider Active NPI

Asantewa R Bryant

  • Licensed Practical Nurse
  • Signal Hill, CA
National Provider Identifier
1366048118
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
156277 Issued in OH
Practice address
2699 E 20TH St Apt a
Signal Hill, CA 90755-1057
Phone
(513) 267-1649
Fax
(562) 343-1431
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 719417 CA
Licensed Practical Nurse 164W00000X 156277 OH Primary

Addresses

Primary practice location

2699 E 20TH St Apt a
Signal Hill, CA 90755-1057

Mailing address

2699 E 20TH St Apt a
Signal Hill, CA 90755-1057
Phone (513) 267-1649

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL asantewabryant@msn.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
156277OHMDLicensed Practical Nurse
719417CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1366048118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 E 20TH ST APT A",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551057",
            "telephone_number": "513-267-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 E 20TH ST APT A",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551057",
            "telephone_number": "513-267-1649",
            "fax_number": "562-343-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ASANTEWA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "719417",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "156277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "asantewabryant@msn.com",
            "affiliation": "N",
            "address_1": "110 Kaitlin Way",
            "city": "Monroe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450502596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.