Active NPI
Ann Marie Bryan
- School Counselor
- Tombstone, AZ
National Provider Identifier
1477635472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- LISAC1514
- Practice address
- 805 E Fremont
Tombstone, AZ 85638 - Phone
- (520) 457-2217
- Fax
- (520) 457-3270
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | LISAC1514 | AZ | Primary |
Addresses
Primary practice location
805 E Fremont
Tombstone, AZ 85638
Mailing address
304 E 7TH St
Benson, AZ 85602
Phone (520) 586-9812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 982688 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC1514 | AZ | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tombstone Unified School District #1 | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Tombstone, AZ
- NPI 1073610291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477635472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E 7TH ST",
"city": "BENSON",
"state": "AZ",
"postal_code": "85602",
"telephone_number": "520-586-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E FREMONT",
"city": "TOMBSTONE",
"state": "AZ",
"postal_code": "85638",
"telephone_number": "520-457-2217",
"fax_number": "520-457-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "ANN MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "LISAC1514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "982688",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tombstone, AZ
- Kristine Lynn Albrecht, PT
- Amy Elizabeth Bates, PHARMD, RPH
- Bisbee Hospital Association (Copper Queen Community Hospital Tombstone RHC)
- Christina K Heinemann, MA CCCSLP
- Dwayne Allen Kruse, MA
- Sharon Ileen Milligan, MS CCCSLP
- RCHP-Sierra Vista Inc (Tombstone Family Health)
- Jonathan Adin Sinnott, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.