Individual provider Active NPI

Heather Ann Bryant-McKenney, NP

  • Gerontology Nurse Practitioner
  • Norwood, MA
National Provider Identifier
1912111733
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
200876 Issued in MA
Practice address
101 Access Rd
Norwood, MA 02062-5211
Phone
(781) 551-8002
Fax
(781) 551-8004
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 200876 MA Primary

Addresses

Primary practice location

101 Access Rd
Norwood, MA 02062-5211

Mailing address

8 Paul St
Canton, MA 02021-3646
Phone (781) 821-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050929000444 MA Practitioner - Nurse Practitioner 5193750016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

45 Dan Rd
Canton, MA 02021-2852
Phone (781) 867-2050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Healthcare LLC CurrentSince Jul 1, 2019 Accepting new patients
Schwartz Medical Group Past Accepting new patients

Locations

95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9395/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1912111733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PAUL ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213646",
            "telephone_number": "781-821-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ACCESS RD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625211",
            "telephone_number": "781-551-8002",
            "fax_number": "781-551-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT-MCKENNEY",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "200876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.