Carol Ann Bryniarski, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

CERTIFICATE NO. 17 Issued in AZ

Practice address

2122 N Craycroft Rd
Suite 102
Tucson, AZ 85712-2849

Phone

(520) 722-2400

Fax

(520) 323-7531

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Evercare Collaborative Solutions Inc

  • Registered Nurse
  • Minnetonka, MN
  • NPI 1285686378
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801950282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7561 E LA CIENEGA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153526",
            "telephone_number": "520-733-1537",
            "fax_number": "520-886-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N CRAYCROFT RD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122849",
            "telephone_number": "520-722-2400",
            "fax_number": "520-323-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYNIARSKI",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "CERTIFICATE NO. 17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527509",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zawadi Bryant
• Paul Matthew Bryde, LISAC-0914
• Kimberly A Brydle, MD
• Brandon Brym, PT,DPT
• Skye Bryner - Engle
• Susan Bryning, NURSE PRACTITIONER
• Thomas L Brysacz, MD
• BSC Reid Park LLC
• Btaz LLC
• Annemarie Buadu, MD

• Gerontology Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.