Individual provider Active NPI

Nancy S Bryant, CRNP

  • Family Nurse Practitioner
  • West River, MD
National Provider Identifier
1750463568
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R124971 Issued in MD
Practice address
134 Owensville Road
West River, MD 20778
Phone
(410) 867-4700
Fax
(410) 867-8754
NPI assigned
Oct 20, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R124971 MD Primary

Addresses

Primary practice location

134 Owensville Road
West River, MD 20778

Mailing address

134 Owensville Road
West River, MD 20778
Phone (410) 867-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000742 MD Order and Referring Only - Nurse Practitioner 2365620192

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Owensville Primary Care,Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nancy.bryant@owensvillepc.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1750463568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 OWENSVILLE ROAD",
            "city": "WEST RIVER",
            "state": "MD",
            "postal_code": "20778",
            "telephone_number": "410-867-4700",
            "fax_number": "410-867-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 OWENSVILLE ROAD",
            "city": "WEST RIVER",
            "state": "MD",
            "postal_code": "20778",
            "telephone_number": "410-867-4700",
            "fax_number": "410-867-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "NANCY",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R124971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West River, MD

Sources for this page

Verify at the official NPI Registry.