Individual provider Active NPI

Heather Dawn Bryce, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1982729588
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-095742 Issued in AL
Practice address
2616 Jordan LN NW
Huntsville, AL 35816-1014
Phone
(256) 851-8433
Fax
(256) 851-6080
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 1-095742 AL Primary

Addresses

Primary practice location

2616 Jordan LN NW
Huntsville, AL 35816-1014

Mailing address

2616 Jordan LN NW
Huntsville, AL 35816-1014
Phone (256) 851-8433

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
I20070626000269 AL Practitioner - Nurse Practitioner 7315046778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Huntsville Family Care, P.C.Group PAC ID 7113829631, 2 clinicians

Practice addresses (Care Compare)

2616 Jordan LN NW
Huntsville, AL 35816-1014
Phone (256) 851-8433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-095742ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Huntsville Family Care, P.C. CurrentSince Oct 21, 2022 Accepting new patients
Lister Healthcare Corporation PastSince Sep 11, 2022 Accepting new patients

Locations

2616 Jordan Ln NW
Huntsville, AL 35816
Phone (256) 851-8433

4831 Sparkman Dr NW
Huntsville, AL 35810
Phone (256) 851-8433

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1982729588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 JORDAN LN NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161014",
            "telephone_number": "256-851-8433",
            "fax_number": "256-851-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 JORDAN LN NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161014",
            "telephone_number": "256-851-8433",
            "fax_number": "256-851-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYCE",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-095742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.