Individual provider Active NPI

Amber Jo Bryant, ARNP

  • Family Nurse Practitioner
  • Deltona, FL
National Provider Identifier
1790266013
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9379670 Issued in FL
Practice address
3400 E Halifax Crossing Blvd
Deltona, FL 32725-2914
Phone
(352) 630-6250
Fax
(352) 425-3300
NPI assigned
Aug 24, 2018
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 ARNP9379670 FL Primary

Addresses

Primary practice location

3400 E Halifax Crossing Blvd
Deltona, FL 32725-2914

Mailing address

PO Box 112727
Gainesville, FL 32611-2727
Phone (352) 273-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181121002033 FL Practitioner - Nurse Practitioner 6002160470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Center of Port Orange LLCGroup PAC ID 5890712806, 10 clinicians

Practice addresses (Care Compare)

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

1690 Dunlawton Ave
Suite 120
Port Orange, FL 32127-8980
Phone (386) 271-2273

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Phone (386) 425-4000

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 28, 2021 Accepting new patients
HN Ucc LLC CurrentSince Aug 20, 2023 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Aug 19, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 28, 2021 Accepting new patients
Urgent Care Center of Port Orange, LLC CurrentSince Jul 15, 2021 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

2090 Saxon Blvd
Deltona, FL 32725
Phone (386) 845-5452

2090 Saxon Blvd
Ste B
Deltona, FL 32725
Phone (386) 425-3300

3400 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (352) 630-6250

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1690 Dunlawton Ave
Ste 120
Port Orange, FL 32127
Phone (386) 481-6674

1690 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 274-1744

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: abryant542498@direct.shands.ufl.edu

Organizations & group practices 5

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.

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1790266013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112727",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112727",
            "telephone_number": "352-273-7002",
            "fax_number": "352-273-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E HALIFAX CROSSING BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327252914",
            "telephone_number": "352-630-6250",
            "fax_number": "352-425-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "AMBER",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9379670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.