Individual provider Active NPI

Amy Renee Bryant, AGNP-C

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1366948226
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP137160 Issued in TX
Practice address
333 West Loop N Ste 250
Houston, TX 77024-1751
Phone
(713) 690-1980
Fax
(713) 690-1980
NPI assigned
Mar 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP137160 TX
Adult Health Nurse Practitioner 363LA2200X AP137160 TX
Primary Care Nurse Practitioner 363LP2300X AP137160 TX
Nurse Practitioner 363L00000X AP137160 TX Primary

Addresses

Primary practice location

333 West Loop N Ste 250
Houston, TX 77024-1751

Mailing address

333 West Loop N Ste 250
Houston, TX 77024-1751
Phone (713) 690-1980

Other names 1

  • Amy Renee Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201203000052 TX Practitioner - Nurse Practitioner 1951712504 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ruan Medical Group Nurse Practitioner CurrentSince Nov 1, 2020 Accepting new patients

Locations

5252 Hollister St
Ste 201
Houston, TX 77040
Phone (346) 410-0404

333 West Loop N
Ste 250
Houston, TX 77024
Phone (713) 690-1991

Interoperability endpoints

  • Direct secure messaging: amy.bryant@rmgp.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1366948226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WEST LOOP N STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241751",
            "telephone_number": "713-690-1980",
            "fax_number": "713-690-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WEST LOOP N STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241751",
            "telephone_number": "713-690-1980",
            "fax_number": "713-690-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP137160",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP137160",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP137160",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BENNETT",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.