BETTY REGINA BRYAN (NPI# 1225493596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225493596 |
| Entity Type | Individual |
| Full Name | BETTY REGINA BRYAN |
| Practice Address |
5543 Wesconnett Blvd Jacksonville FL 32244-1947 |
| Practice Telephone | 9046475019 |
| Mailing Telephone | 9046415019 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
5543 WESCONNETT BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730739889 | Jill Johnson | Technician | 718 Perryman Ln W, Jacksonville, FL 32221-1543 | 2019-09-19 |
| 1154971471 | Laura Cowan | Technician | 1613 Spring Branch Dr E, Jacksonville, FL 32221-7618 | 2019-09-18 |
| 1457901993 | Edith Corbett | Technician | 3688 Timucua Trl, Jacksonville, FL 32277-2250 | 2019-09-17 |
| 1689224180 | Patricia J Baker | Technician | 1905 Chaffee Rd S, Jacksonville, FL 32221-1861 | 2019-09-17 |
| 1588214092 | Gloria Jean Brewer | Technician | 1242 Spring Creek Ct, Jacksonville, FL 32218-8050 | 2019-09-17 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1336798941 | Nicole Blevins | Technician | 2539 Stern Dr S, Jacksonville, FL 32233-2916 | 2019-09-06 |
| 1033767231 | Carol Lynn Holder | Technician | 1070 County Road 4101, Jacksonville, TX 75766-0512 | 2019-08-30 |
| 1336796630 | Joyce Valadie Miller | Technician | 131 County Road 1432, Jacksonville, TX 75766-9001 | 2019-08-21 |
| 1073062501 | Veronica Coleman | Technician | 5714 Fort Caroline Rd, Jacksonville, FL 32277-1753 | 2016-09-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32244 |
Please comment or provide details below to improve the information on BETTY REGINA 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.