Terayia Bryant, RN
Individual provider Active NPI Family Nurse Practitioner · Jacksonville, AR
NPI 1528883261 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1528883261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 123245 (AR)
- Practice address
- 1400 Braden St
Jacksonville, AR 72076-3721 - Phone
- (501) 241-1676
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arcare
Appello Health and Wellness Clinic LLC
Practice addresses (Care Compare)
1400 Braden St
Jacksonville, AR 72076-3721
2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031
4020 N Richards Rd I
Arcare78
North Little Rock, AR 72117-2744
Phone (501) 916-9693
502 Richie Rd
Cabot, AR 72023-3309
Phone (501) 941-0940
623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534
630 W S St
Benton, AR 72015-4258
Phone (870) 347-2534
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250221001871 | AR | Practitioner - Nurse Practitioner | 8325568298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123245 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current |
Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Past | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
1400 Braden St
Ste 1
Jacksonville, AR 72076
Phone (501) 241-1676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 123245 | AR | |
| Family Nurse Practitioner | 363LF0000X | 123245 | AR | Yes |
Addresses
Primary practice location
1400 Braden St
Jacksonville, AR 72076-3721
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other providers in Jacksonville, AR
- Elizabeth Brewer
- Amber Broadway
- Latosha M Brown
- Rachel Nicole Brown
- Susan May Brown
- Anna Lea Burch
- James Kenneth Burnett
- T.J. Allen Burrow
- Thomas Richard Bush
- Ca & JL Enterprises Inc
All providers in Jacksonville, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.