Individual provider Active NPI

Brittany Sue Bryan, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1750819769
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011128 Issued in KY
Practice address
151 N Eagle Creek Dr Ste 220
Lexington, KY 40509-1892
Phone
(859) 259-2635
NPI assigned
Jun 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 3011128 KY Primary

Addresses

Primary practice location

151 N Eagle Creek Dr Ste 220
Lexington, KY 40509-1892

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Other practice location 1

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
Phone (859) 259-2635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, UT2 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
I20200910003613 TN Practitioner - Nurse Practitioner 5991079915 Reassigns benefits to 2 organizations
I20240710004867 UT Practitioner - Nurse Practitioner 5991079915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians

Practice addresses (Care Compare)

2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840

Hospital & facility affiliations

  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28010TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Memorial Clinic CurrentSince Jun 10, 2024 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Sep 4, 2020 Accepting new patients
Tanner Memorial Clinic CurrentSince Jun 10, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 19, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 19, 2021 Accepting new patients

Locations

11130 Kingston Pike
Knoxville, TN 37934
Phone (865) 675-4730

11130 Kingston Pike
Ste 7
Knoxville, TN 37934
Phone (865) 675-1953

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1418 W Main St
Lebanon, TN 37087
Phone (615) 449-4653

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

Interoperability endpoints

  • Direct secure messaging: brittany.bryan.p1@direct.tannerclinic.nextgenshare.com

Organizations & group practices 6

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.

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": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1750819769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200",
            "fax_number": "859-254-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR STE 220",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091892",
            "telephone_number": "859-259-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 Versailles Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405041795",
            "country_code": "US",
            "telephone_number": "859-259-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "BRITTANY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.