Payton Ashley Bryan, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

233560 Issued in AK

Practice address

601 E Pioneer Ave Ste 203
Homer, AK 99603-7694

Phone

(907) 435-1071

NPI assigned

Jan 25, 2025

Last updated

Jan 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Changing Tides Therapy Services, Inc

  • Speech-Language Pathologist
  • Homer, AK
  • NPI 1710817184
  NPD (past)
• Zank Center, LLC

  dba Changing Tides Therapy Services

  • Speech-Language Pathologist
  • Homer, AK
  • NPI 1942968342
  NPD (past)

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1831901859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14832 N 37TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325221",
            "telephone_number": "602-717-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E PIONEER AVE STE 203",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037694",
            "telephone_number": "907-435-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "PAYTON",
        "middle_name": "ASHLEY",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CO",
            "license": "17497274",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AK",
            "license": "233560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Bowers
• Tommy Bowling
• Boyd L Walker OD Apc
• Linsey Beth Broadbent, DNP, FNP-BC,PMHNP-BC
• Christine Sophia Brubaker, FNP
• Christine Bubar
• Melissa Ann Bunker, FNP
• Susan Burpee
• Laura Ashton Busby
• Sean Calavan

• Speech-Language Assistant in Homer, AK
• Providers in Homer, AK by specialty
• Speech-Language Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.