Individual provider Active NPI

Rebecca Bryant, CNP

  • Family Nurse Practitioner
  • Waynesville, OH
National Provider Identifier
1457495186
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP06410 Issued in OH
Practice address
3063 Harveysburg Rd
Waynesville
Waynesville, OH 45068
Phone
(937) 725-5006
Fax
(937) 289-3003
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP06410 OH Primary

Addresses

Primary practice location

3063 Harveysburg Rd
Waynesville
Waynesville, OH 45068

Mailing address

3063 Harveysburg Rd
Waynesville, OH 45068-9420
Phone (937) 725-5006

Other practice location 1

3063 Harveysburg Rd
Waynesville
Waynesville, OH 45068
Phone (937) 725-5006

Other identifiers 1

IdentifierTypeStateIssuer
2222491MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060206000110 OH Practitioner - Nurse Practitioner 9335153832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3063 Harveysburg Rd
Waynesville, OH 45068-9420
Phone (937) 725-5006

Hospital & facility affiliations

  • Adams County Homecare LLC Home health agency, Winchester, OH, CCN 367055
  • Comprehensive Health Network Home health agency, Greenville, OH, CCN 367444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP06410OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Home Visits LLC Family CurrentSince Oct 1, 2007 Accepting new patients
Professional Emergency Specialists of Southern Ohio Past Accepting new patients
Tommy R. Tigar, M.D., Inc. Past Accepting new patients
Andrew D Grubbs Family Past Accepting new patients
Clarksville Family Practice LLC PastSince Sep 1, 2008 Accepting new patients
Medical Housecalls LLC Family PastSince Mar 1, 2020 Accepting new patients
Professional Emergency Specialists of Southern Ohio Past Accepting new patients

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1457495186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 HARVEYSBURG RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689420",
            "telephone_number": "937-725-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 HARVEYSBURG RD",
            "address_2": "WAYNESVILLE",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "45068",
            "telephone_number": "937-725-5006",
            "fax_number": "937-289-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3063 Harveysburg Rd",
            "address_2": "Waynesville",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "OH",
            "postal_code": "45068",
            "country_code": "US",
            "telephone_number": "937-725-5006",
            "fax_number": "937-289-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "REBECCA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP06410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, OH

Sources for this page

Verify at the official NPI Registry.