Individual provider Active NPI

Ran McBryde, APN

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1841760766
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219040 Issued in AZ
Practice address
21620 N 19TH Ave Ste A6
Phoenix, AZ 85027-2716
Phone
(480) 589-2890
NPI assigned
Dec 4, 2018
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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 219040 AZ Primary

Addresses

Primary practice location

21620 N 19TH Ave Ste A6
Phoenix, AZ 85027-2716

Mailing address

7801 N 177TH Ave
Waddell, AZ 85355-9379
Phone (602) 980-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221001730 AZ Practitioner - Nurse Practitioner 8123367919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14780 W Mountain View Blvd
Suite 110
Surprise, AZ 85374-7280

21620 N 19TH Ave
Suite A6
Phoenix, AZ 85027-2716

2375 E Camelback Rd
Suite 600
Phoenix, AZ 85016-3493

3624 N 104TH Dr
Avondale, AZ 85392-4459

4903 108TH St SW
Lakewood, WA 98499-3724

7801 N 177TH Ave
Waddell, AZ 85355-9379

PO Box
Suite 22757
Chattanooga, TN 37422-2757

PO Box
Suite 39179
Phoenix, AZ 85069-9179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health and Wellness Center PLLC CurrentSince Aug 3, 2025 Accepting new patients
Optimal Mens Center PLLC CurrentSince Aug 31, 2021 Accepting new patients

Locations

8190 W Union Hills Dr
Ste 145
Glendale, AZ 85308
Phone (602) 678-4625

700 N Estrella Pkwy
Ste 145
Goodyear, AZ 85338
Phone (602) 678-4625

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20695/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ran.mcbryde.1@20695.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1841760766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N 177TH AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559379",
            "telephone_number": "602-980-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21620 N 19TH AVE STE A6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272716",
            "telephone_number": "480-589-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRYDE",
        "first_name": "RAN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "219040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.