Renita Smalley Bryant, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06499 Issued in LA

Practice address

420 Gunby Ave
Bastrop, LA 71220-4406

Phone

(318) 283-3920

Fax

(318) 239-8920

NPI assigned

Jun 28, 2011

Last updated

Nov 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renita Gale Smalley Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Interoperability endpoints

• Direct secure messaging: rbryant@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Applegate Health Services, Inc.

  dba AppleGate Recovery of Lake Charles

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1346775210
  Medicare reassignment NPD (past)
• Morehouse Parish Hospital Service District 1

  dba MGH Physicians Clinic

  • Multi-Specialty Clinic/Center
  • Bastrop, LA
  • NPI 1891013496
  Medicare reassignment
• Applegate Health Services, Inc

  dba AppleGate Recovery Oakdale

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oakdale, LA
  • NPI 1548893563
  NPD
• Applegate Health Services, Inc

  dba AppleGate Recovery Slidell

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Slidell, LA
  • NPI 1699396085
  NPD
• Dr James Michael Smith Apmc

  • Primary Care Clinic/Center
  • Bastrop, LA
  • NPI 1508064296
  NPD
• Applegate Health Services, Inc.

  dba AppleGate Recovery Jasper

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, AL
  • NPI 1891494415
  NPD
• Applegate Health Services, Inc

  dba AppleGate Recovery of Monroe

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1801326723
  NPD (past)
• Applegate Health Services, Inc.

  dba AppleGate Recovery of Bossier City

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bossier City, LA
  • NPI 1710412960
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1467748459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210293",
            "telephone_number": "318-283-3920",
            "fax_number": "318-239-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GUNBY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204406",
            "telephone_number": "318-283-3920",
            "fax_number": "318-239-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "RENITA",
        "middle_name": "SMALLEY",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167219",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENITA",
            "last_name": "SMALLEY",
            "middle_name": "GALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Brown
• Isaac Brown
• Jasmine Shatara Brown
• Skylar Brown
• Whitney T Brown
• Amanda Kay Burch, M.S., PL-SLP, CF-SLP
• Ashley Burks
• Adrian Burnette
• Shajarria Butcher, LMT
• Eric Butler

• Family Nurse Practitioner in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.