Organization Active NPI

Erin Bryant Aprn PLLC

  • Adult Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1396352332
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ERIN BRYANT APRN PLLC
Practice address
2407 Ring Rd Ste 133
Elizabethtown, KY 42701-5963
Phone
(270) 506-4000
Fax
(270) 297-4994
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Erin Bryant, APRNNPI 1063462935
Title
Owner
Phone
(270) 506-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

2407 Ring Rd Ste 133
Elizabethtown, KY 42701-5963

Mailing address

2407 Ring Rd Ste 133
Elizabethtown, KY 42701-5963
Phone (270) 506-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201027002930 KY Part B Supplier - Clinic/Group Practice 5799195012 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabethtown, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2213544Erin Bryant Aprn2407 Ring Rd Ste 133, Elizabethtown, KY 42701Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

2407 Ring Rd
Ste 133
Elizabethtown, KY 42701
Phone (270) 506-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1396352332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 RING RD STE 133",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015963",
            "telephone_number": "270-506-4000",
            "fax_number": "270-297-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 RING RD STE 133",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015963",
            "telephone_number": "270-506-4000",
            "fax_number": "270-297-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN BRYANT APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-506-4000",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.