Kyria Anastasia Buchanan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209023411 Issued in IL

Practice address

520 Fullerton Rd Ste B
Swansea, IL 62226-2901

Phone

(618) 277-0006

Fax

(618) 257-0641

NPI assigned

Mar 23, 2021

Last updated

Jul 17, 2025By 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 3

Addresses

Other names 1

• Kyria Konieczny Former name

Medicare fee-for-service enrollment

Enrolled in MO, IL2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brightside Medical, P.a.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1609335660

  IL

  Medicare reassignment Care Compare group NPD
• Chestnut Health Systems Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bloomington, IL
  • NPI 1366431686
  Medicare reassignment NPD
• Success Health System, LLC

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1508310293
  Medicare reassignment NPD
• Gumtree Mental Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Swansea, IL
  • NPI 1023844909
  NPD Authorized official
• Chestnut Health Systems Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wood River, IL
  • NPI 1235941311
  NPD
• Leeker Enterprises Inc

  dba Reflections Counsulting

  • Clinical Social Worker
  • Kennett, MO
  • NPI 1932506524
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1629654298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FULLERTON RD STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262901",
            "telephone_number": "618-277-0006",
            "fax_number": "618-257-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FULLERTON RD STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262901",
            "telephone_number": "618-277-0006",
            "fax_number": "618-257-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KYRIA",
        "middle_name": "ANASTASIA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015016704",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021010405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209023411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRIA",
            "last_name": "KONIECZNY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brigitta M. Brink, RN, MSN, CWOCN
• Abigail Brown
• Ashley Renee Brown, MSW, LCSW
• Jedsia Omega Brown
• Syntia Brown, LMT
• Brian E Buescher, P.T.
• Tremika Burchett, LCPC
• Samuel A. Burstein, M.D.
• Linda A Busch, LCSW
• John Bush, OD

• Psychiatric/Mental Health Nurse Practitioner in Swansea, IL
• Providers in Swansea, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.