Tracey L Bryant, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003465 Issued in WA

Practice address

216 W 10TH Ave
Suite 300
Kennewick, WA 99336-6300

Phone

(509) 586-5644

Fax

(509) 586-5645

NPI assigned

Jan 27, 2006

Last updated

May 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Physician Assistant

Education

Yale University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trios Health Hospital, Kennewick, WA, CCN 500053

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: tracey.bryant.1@18485.direct.athenahealth.com

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.

• RCCH Trios Health LLC

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1831682806
  Medicare reassignment Care Compare group
• Kendal Rae Piatt, OD, PC

  dba Grandridge Eye Clinic

  • Corneal and Contact Management Optometrist
  • Kennewick, WA
  • NPI 1972725059
  NPD (past)
• Kennewick Public Hospital District

  dba KGH Physician Clinics

  • Multi-Specialty Clinic/Center
  • Kennewick, WA
  • NPI 1235257262
  NPD (past)
• Lourdes Hospital LLC

  dba Lourdes Counseling Center

  • Psychiatric Hospital
  • Richland, WA
  • NPI 1548342181
  NPD (past)
• Tri Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1659995504
  NPD (past)
• Tri Cities OB and GYN PC

  • Obstetrics Physician
  • Kennewick, WA
  • NPI 1326267022
  NPD (past)

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

• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1962473256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W 10TH AVE",
            "address_2": "SUITE 300",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366300",
            "telephone_number": "509-586-5644",
            "fax_number": "509-586-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 10TH AVE",
            "address_2": "SUITE 300",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366300",
            "telephone_number": "509-586-5644",
            "fax_number": "509-586-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TRACEY",
        "middle_name": "L",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Brummett, LICSW
• Tamara Brun, RN
• Patrick (Rick) C. R. Brunk, M.ED.
• Kendall Augusta Brusseau, OT
• Alexys Anne Bryant, DPT
• Bryce Holmes PLLC
• BS Chiropractic Inc
• BTR LLC (Elysian Estates Adult Family Home)
• Judy Bucio-Salas
• Elvia Bucio

• Physician Assistant in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.

Verify at the official NPI Registry.