Samantha June Bryant, APRN NP-C
Individual provider Active NPI Family Nurse Practitioner · Dayton, TN
NPI 1821486556 · NPPES record last updated Jul 12, 2016
Key facts
- NPI
- 1821486556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0000019340 (TN)
- Practice address
- 260 16TH Ave
Unit 138
Dayton, TN 37321-1071 - Phone
- (423) 567-5003
- Fax
- (423) 428-9018
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000019340 | TN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0000019340 | TN | Yes |
Addresses
Primary practice location
260 16TH Ave
Unit 138
Dayton, TN 37321-1071
Mailing address
131 Saundersville Rd
Suite 160
Hendersonville, TN 37075-8903
Phone (423) 458-6267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q011195 | Medicaid | TN |
Other providers in Dayton, TN
- Daniel S Brashear
- Bravo Webb PLLC
- Michelle Linn Brenner
- Theresa B Browder
- Barry D Bryant
- Clovella Grace Buttram
- Heather Kaye Campbell
- Katie Lauren Cardwell
- John Robert Carter Jr.
- Nina Michelle Cavitt
All providers in Dayton, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.