NPIMap

Organization Active NPI

Jane K Bryant

  • Specialist
  • Kingston, TN
National Provider Identifier
1558560474
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
77 Issued in TN
Legal business name
JANE K BRYANT
Practice address
187 Gallaher Rd
Kingston, TN 37763-4721
Phone
(865) 376-4620
Fax
(865) 376-1759
NPI assigned
Jul 11, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Jane Kittrell Bryant, OCCUPATIONAL THERAPYNPI 1336171560
Title
Otr/Sole Proprietor
Phone
(865) 376-4620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 77 TN Primary

Addresses

Primary practice location

187 Gallaher Rd
Kingston, TN 37763-4721

Mailing address

187 Gallaher Rd
Kingston, TN 37763-4721
Phone (865) 376-4620

Other identifiers 1

IdentifierTypeStateIssuer
004074553OtherTNBCBS GROUP PROVIDER NUMBE

Other names 1

  • KIDS KABIN Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1558560474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634721",
            "telephone_number": "865-376-4620",
            "fax_number": "865-376-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634721",
            "telephone_number": "865-376-4620",
            "fax_number": "865-376-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE K BRYANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "KITTRELL",
        "authorized_official_title_or_position": "OTR/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "865-376-4620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OCCUPATIONAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "004074553",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS KABIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.