Vickie Lynn Bryan, IECE

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

231 Stinson Dr
Bardstown, KY 40004-2437

Phone

(502) 507-6464

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1881397651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 STINSON DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042437",
            "telephone_number": "502-507-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 STINSON DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042437",
            "telephone_number": "502-507-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "VICKIE",
        "middle_name": "LYNN",
        "credential": "IECE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleena Marie Brown, MS, LPAT, ATR-BC
• Kersten Brown, RBT
• Shannen Brown, MS, ATC, LAT
• Kelli Marie Bruington, M.ED., BCBA, LBA
• Gregory Brussell, DMD
• Jonathan Ashley Buckman, PHARM D
• Devin Matthew Buley
• Sherri Bunch, ARNP
• Jaden Grace Burba
• Burgett, PSC (Bardstown Chiropractic Pain & Injury Center)

• Developmental Therapist in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.