Individual provider Active NPI

Christine Ioney Bryant, NP

  • Gerontology Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1710645270
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024184381 Issued in VA
Practice address
9116 Hardesty Dr
Clinton, MD 20735-4701
Phone
(301) 613-3950
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024184381 VA Primary
Registered Nurse 163W00000X R088124 MD

Addresses

Primary practice location

9116 Hardesty Dr
Clinton, MD 20735-4701

Mailing address

9116 Hardesty Dr
Clinton, MD 20735-4701
Phone (301) 613-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, OH, WV5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20220816000897 MD Practitioner - Nurse Practitioner 3274910641 Reassigns benefits to 1 organization
I20220816002622 DC Practitioner - Nurse Practitioner 3274910641 Reassigns benefits to 1 organization
I20221118001306 VA Practitioner - Nurse Practitioner 3274910641 Reassigns benefits to 1 organization
I20240322003757 OH Practitioner - Nurse Practitioner 3274910641
I20240809002739 WV Practitioner - Nurse Practitioner 3274910641

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10901 Stonelake Blvd
Suite 200
Austin, TX 78759-5749

300 Dave Cowens Dr
Suite 600
Newport, KY 41071-4543

388 S Main St
Suite 330
Akron, OH 44311-1044

4055 Valley View LN
Suite 400
Dallas, TX 75244-5074

PO Box
Cincinnati, OH 45263

PO Box
Suite 638707
Cincinnati, OH 45263-8707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R088124MDMDRegistered Nurse
0024184381VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jul 28, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1710645270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 HARDESTY DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354701",
            "telephone_number": "301-613-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 HARDESTY DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354701",
            "telephone_number": "301-613-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CHRISTINE",
        "middle_name": "IONEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024184381",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R088124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.