Amanda Dawn O/Bryan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2007001110 Issued in MO

Practice address

214 W 5TH St
Joplin, MO 64801-2598

Phone

(417) 782-2917

Fax

(417) 782-7038

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greater Missouri Medical Pro-Care Providers, Inc

  • Home Health Agency
  • Joplin, MO
  • NPI 1013216795
  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1629419742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SUSAN PL",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502896",
            "telephone_number": "417-439-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012598",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O/BRYAN",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007001110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurse Anesthesia Professionals Inc.
• Anlon Llewellyn O'Brien, LMT
• Don Robert O'Donnell, O.D.
• O'Keefe & Kessler
• Timothy M. O'Keefe, M.D.
• Khaled Obeidat
• Rahul Oberoi, MD
• Cheryl-Gabriella Kamsiyonna Obiadi
• Sydney Ena Obimpeh
• Jackson Ogburn

• Registered Nurse in Joplin, MO
• Providers in Joplin, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.