Individual provider Active NPI

Bryanna Streit Larose, DNP, APRN, AGNP-BC

  • Nurse Practitioner
  • Cary, NC
National Provider Identifier
1558923987
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012799 Issued in NC
Practice address
115 Kildaire Park Dr Ste 301
Cary, NC 27518-8144
Phone
(919) 233-0410
Fax
(919) 233-0872
NPI assigned
Jul 6, 2019
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012799 NC Primary
Nurse Practitioner 363L00000X 11002914 FL

Addresses

Primary practice location

115 Kildaire Park Dr Ste 301
Cary, NC 27518-8144

Mailing address

115 Kildaire Park Dr Ste 301
Cary, NC 27518-8144
Phone (919) 233-0410

Other names 1

  • Bryanna Joy Streit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200227001749 NC Practitioner - Nurse Practitioner 4385071539 Reassigns benefits to 1 organization
I20251020000162 FL Practitioner - Nurse Practitioner 4385071539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Raleigh, PAGroup PAC ID 4981644507, 8 clinicians

Practice addresses (Care Compare)

3850 Ed Dr
Suite 100
Raleigh, NC 27612-8037
Phone (919) 788-9588

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002914FLMDNurse Practitioner
5012799NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boca General & Family Medicine PA CurrentSince Aug 1, 2025 Accepting new patients

Locations

1500 NW 10th Ave
Ste 101
Boca Raton, FL 33486
Phone (561) 391-2708

Interoperability endpoints

  • Direct secure messaging: blarose@direct.imar.nextgenshare.com
  • Direct secure messaging: bryanna.larose.1@17068.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1558923987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-233-0410",
            "fax_number": "919-233-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-233-0410",
            "fax_number": "919-233-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSE",
        "first_name": "BRYANNA",
        "middle_name": "STREIT",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-06",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012799",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11002914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYANNA",
            "last_name": "STREIT",
            "middle_name": "JOY",
            "credential": "DNP, APRN, AGNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.