Individual provider Active NPI

Kassie Jeanette Bryant, FNP

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1891410015
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-121161 Issued in AL
Practice address
400 E 10TH St
Anniston, AL 36207-4716
Phone
(256) 288-3333
Fax
(775) 227-8344
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 1-121161 AL Primary

Addresses

Primary practice location

400 E 10TH St
Anniston, AL 36207-4716

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 975-4291

Other practice location 1

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 975-4291

Other names 1

  • Kassie Houser Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221212001786 AL Practitioner - Nurse Practitioner 2264801323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-121161ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc CurrentSince Mar 2, 2023 Accepting new patients
Integrated Behavioral Health, Inc. Family CurrentSince Oct 17, 2022 Accepting new patients
Russellville Hospital Inc CurrentSince Mar 2, 2023 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

1040 Longfield Ct
Montgomery, AL 36117
Phone (334) 288-9009

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1891410015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-975-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074716",
            "telephone_number": "256-288-3333",
            "fax_number": "775-227-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Sun Temple Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357588643",
            "country_code": "US",
            "telephone_number": "256-975-4291",
            "fax_number": "775-227-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KASSIE",
        "middle_name": "JEANETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIE",
            "last_name": "HOUSER",
            "credential": "HOUSER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.