Individual provider Active NPI

Deshawn Bryant

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1881246965
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN57114 Issued in NV
Practice address
5033 Tunnel Falls Dr
Las Vegas, NV 89141-8647
Phone
(702) 557-0050
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN57114 NV Primary

Addresses

Primary practice location

5033 Tunnel Falls Dr
Las Vegas, NV 89141-8647

Mailing address

5033 Tunnel Falls Dr
Las Vegas, NV 89141-8647
Phone (702) 557-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Las Vegas, NV 89141
Phone (702) 575-0358

5033 Tunnel Falls Dr
Las Vegas, NV 89141-8647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN57114NVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bryant Community Outreach LLC CurrentSince Jan 4, 2024 Accepting new patients
Compassion Care Hospice LLC Current Accepting new patients
Deelux Care Home LLC PastSince Dec 13, 2020 Accepting new patients

Locations

3430 E Russell Rd
Ste 320
Las Vegas, NV 89120
Phone (702) 522-7964

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1881246965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 TUNNEL FALLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418647",
            "telephone_number": "702-557-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 TUNNEL FALLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418647",
            "telephone_number": "702-557-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "DESHAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN57114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.