Active NPI
Elizabeth Bryan, APN
- Pediatric Nurse Practitioner
- Memphis, TN
National Provider Identifier
1366899338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 21040
- Practice address
- 51 N Dunlap St Ste G10
Memphis, TN 38105-4625 - Phone
- (901) 287-7337
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 21040 | TN | Primary |
Addresses
Primary practice location
51 N Dunlap St Ste G10
Memphis, TN 38105-4625
Mailing address
850 Poplar Ave BLDG 2
Memphis, TN 38105-4607
Phone (901) 287-5565
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1366899338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 POPLAR AVE BLDG 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381054607",
"telephone_number": "901-287-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N DUNLAP ST STE G10",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381054625",
"telephone_number": "901-287-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "ELIZABETH",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "21040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.