Active NPI
Kim L Bryant, BSW
- Social Worker
- Dallas, TX
National Provider Identifier
1508084971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 100149
- Practice address
- 524 Highfall Dr
Dallas, TX 75232-3610 - Phone
- (214) 724-8124
- Fax
- (817) 276-3950
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 100149 | TX | Primary |
Addresses
Primary practice location
524 Highfall Dr
Dallas, TX 75232-3610
Mailing address
524 Highfall Dr
Dallas, TX 75232-3610
Phone (214) 724-8124
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 |
|---|---|---|---|
| 100149 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1508084971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 HIGHFALL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752323610",
"telephone_number": "214-724-8124",
"fax_number": "817-276-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 HIGHFALL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752323610",
"telephone_number": "214-724-8124",
"fax_number": "817-276-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "KIM",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "100149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.