BRYAN SCOTT LEBO (NPI# 1043822372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043822372 |
| Entity Type | Individual |
| Full Name | BRYAN SCOTT LEBO |
| Credential | DNP, ARNP, FNP |
| Practice Address |
9425 N Nevada St Ste 300 Spokane WA 99218-1286 |
| Practice Telephone | 5092700065 |
| Mailing Telephone | 5092700065 |
| Mailing Fax Number | 5093192520 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP61091392 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | AP61091392 | 05 |
| Street Address |
9425 N NEVADA ST STE 300 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330992 | Bryan Donald Cress | Nurse Practitioner | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2019-01-30 |
| 1497376784 | Leah Powell | Nurse Practitioner | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2020-04-28 |
| 1154959484 | Samantha Fantin | Speech-Language Pathologist | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330992 | Bryan Donald Cress | Nurse Practitioner | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2019-01-30 |
| 1922570373 | Cassandra Lynn Prewitt | Nurse Practitioner | 400 E 5th Ave # 1, Spokane, WA 99202-1334 | 2018-12-26 |
| 1447743117 | Matthew Kilgore | Nurse Practitioner | 707 W 7th Ave Ste 290, Spokane, WA 99204-2833 | 2018-06-07 |
| 1902252505 | Richard D Ervin | Nurse Practitioner | 1820 W Pepper Ln, Spokane, WA 99218-2759 | 2016-05-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1427427178 | Kristen Bolling | Nurse Practitioner | 6518 E Lyons Ave, Spokane, WA 99217-9700 | 2015-09-23 |
| 1063897965 | Julia Wolf | Nurse Practitioner | 9631 N Nevada St Ste 202, Spokane, WA 99218-1197 | 2015-07-21 |
| 1457746737 | Ashley Jones | Nurse Practitioner | 10414 W Highway 2 Ste 10, Spokane, WA 99224-5347 | 2015-04-02 |
| 1639580111 | Avante Human Services and Advocacy Project LLC | Nurse Practitioner | 1312 N Monroe St Ste 305, Spokane, WA 99201-2623 | 2014-05-18 |
| 1518387067 | Jennifer Lyn Nava | Nurse Practitioner | 316 W Boone Ave Ste 757, Spokane, WA 99201-2364 | 2014-04-23 |
| Find all providers in SPOKANE | ||||
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| 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.