Active NPI
Ran McBryde, APN
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 219040
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Health and Wellness Center PLLC | Current | Accepting new patients | |
| Optimal Mens Center PLLC | Current | 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
- https://api.platform.athenahealth.com/20695/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Goodyear, AZ
- NPI 1811535974
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Goodyear, AZ
- NPI 1760366884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.