Kris Bryan, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

A03266 Issued in AR

Practice address

403 W Oak St
Suite 200
El Dorado, AR 71730-4586

Phone

(870) 875-5500

NPI assigned

Sep 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Share Foundation

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • El Dorado, AR
  • NPI 1558909192
  NPD
• South Arkansas Physician Services LLC

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1427018704
  NPD (past)

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1447583885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 JUNCTION CITY HWY",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308754",
            "telephone_number": "318-465-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W OAK ST",
            "address_2": "SUITE 200",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304586",
            "telephone_number": "870-875-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KRIS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A03266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186301758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookshire Grocery Company
• Len Don Brotherton, D.D.S.
• Reginald Curtis Brown, MHPP
• Rickey Lee Brown, D.C.
• Lance Michael Brumley, NP
• D'Orsay D Bryant III, M.D.
• Renee J Bryant, SLP
• Christy Buhrman, APRN
• Kamea Burgie
• Patricia S Burks, AT

• All providers in El Dorado, AR
• Primary Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.