SUSAN JEAN BRYAN (NPI# 1154503936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154503936 |
| Entity Type | Individual |
| Full Name | SUSAN JEAN BRYAN |
| Credential | MSN, RN, FNPC |
| Practice Address |
1111 N Glenstone Ave Springfield MO 65802-2125 |
| Practice Telephone | 4178652815 |
| Practice Fax Number | 4175755496 |
| Mailing Telephone | 4178652815 |
| Mailing Fax Number | 4175755496 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
106677 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306196274 | Susan Evon Bryan | Case Manager/Care Coordinator | 539 Barhams Ridge Dr, Mcdonough, GA 30252-5800 | 2012-09-18 |
| 1063838662 | Susan K Bryan | Occupational Therapy Assistant | 11177 Lambs Ln, Newark, OH 43055-9779 | 2014-03-07 |
| 1245525310 | Susan Bryan | Counselor | 101 Route 130 S, Suite 321, Cinnaminson, NJ 08077-2845 | 2011-06-16 |
| 1568650950 | Susan A Bryan | Nurse Practitioner | 4341 Tudor Centre Dr, 3rd Floor, Anchorage, AK 99508-5904 | 2007-10-10 |
| 1659499333 | Susan Bryan | Marriage & Family Therapist | 975 Flynn Rd, Camarillo, CA 93012-8704 | 2007-03-27 |
| 1609808658 | Susan Bryan | Nurse Anesthetist, Certified Registered | 72 S State St, Shelby, MI 49455-1228 | 2006-07-07 |
| Street Address |
1111 N GLENSTONE AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477582617 | Betty Gail Tilleman | Specialist/Technologist | 1111 N Glenstone Ave, Springfield, MO 65802-2125 | 2006-07-01 |
| 1679039655 | Alexandra Charlene Orr | Specialist/Technologist | 1111 N Glenstone Ave, Springfield, MO 65802-2125 | 2019-02-14 |
| 1922581867 | Nicholas John Legrand | Specialist/Technologist | 1111 N Glenstone Ave, Springfield, MO 65802-2125 | 2018-09-06 |
| 1144707993 | Nathanael Comer | Specialist/Technologist | 1111 N Glenstone Ave, Springfield, MO 65802-2125 | 2018-07-24 |
| 1518310101 | Evangel University | Clinic/Center | 1111 N Glenstone Ave, Ashcroft Building, Springfield, MO 65802-2125 | 2016-07-19 |
| 1700238615 | Samantha Fluck | Specialist/Technologist | 1111 N Glenstone Ave, Springfield, MO 65802-2125 | 2016-07-05 |
| 1982055901 | Haley Reiff | Specialist/Technologist | 1111 N Glenstone Ave, Springfield, MO 65802-2125 | 2016-06-30 |
| 1568769735 | Sarah Elisabeth Walters | Specialist/Technologist | 1111 N Glenstone Ave, Springfield, MO 65802-2125 | 2011-02-23 |
| 1518289651 | Neil A. Moore | Specialist/Technologist | 1111 N Glenstone Ave, Athletic Training Room-ashcroft Center, Springfield, MO 65802-2125 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on SUSAN JEAN BRYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.