KELLI M BRYAN (NPI# 1114178134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114178134 |
| Entity Type | Individual |
| Full Name | KELLI M BRYAN |
| Credential | CNP |
| Practice Address |
1516 Yankee Park Pl Centerville OH 45458-1878 |
| Mailing Address |
2912 Springboro W Suite 201 Moraine OH 45439-1674 |
| Practice Telephone | 9374381115 |
| Practice Fax Number | 9374381291 |
| Mailing Telephone | 9372978999 |
| Mailing Fax Number | 9372998291 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10251 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1516 YANKEE PARK PL |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-1878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609042647 | Contemporary Pediatrics, Inc. | Pediatrics | 1516 Yankee Park Pl, Centerville, OH 45458-1878 | 2008-04-30 |
| 1043410830 | Lori Beth Milliron | Nurse Practitioner | 1516 Yankee Park Pl, Centerville, OH 45458-1878 | 2007-07-20 |
| 1679666085 | Wendy S Bowles | Pediatrics | 1516 Yankee Park Pl, Centerville, OH 45458-1878 | 2006-09-30 |
| 1770676181 | Robert Paul Myers | Pediatrics | 1516 Yankee Park Pl, Centerville, OH 45458-1878 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920617 | Heather Dalynn Ferguson | Nurse Practitioner | 1140 Charter Pl, Centerville, OH 45458-3943 | 2019-12-24 |
| 1831744341 | Lirong Zheng | Nurse Practitioner | 9432 Tahoe Dr, Centerville, OH 45458-3689 | 2019-08-02 |
| 1891278743 | Latonia Queen Howard | Nurse Practitioner | 804 Arbor Ln, Centerville, GA 31028 | 2018-09-06 |
| 1427539014 | Spencer Nicholaus Lowe | Nurse Practitioner | 576 Churchill Dr, Centerville, UT 84014-2614 | 2018-08-22 |
| 1538683727 | Kathleen Whelan | Nurse Practitioner | 6071 Far Hills Ave, Centerville, OH 45459-1923 | 2017-07-28 |
| 1629517727 | Annette Kathryn Hawthorn | Nurse Practitioner | 2591 Miamisburg Centerville Rd Ste 201, Centerville, OH 45459-3706 | 2017-02-22 |
| 1578012993 | Kendra Custer | Nurse Practitioner | 968 Great View Cir Apt D, D, Centerville, OH 45459-6053 | 2016-09-27 |
| 1235688755 | Justin Henne | Nurse Practitioner | 607 W Lassater, Centerville, TX 75833-1959 | 2016-09-26 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1053795757 | Emily Bush | Nurse Practitioner | 6520 Acro Ct, Centerville, OH 45459-2679 | 2015-07-13 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45458 |
Please comment or provide details below to improve the information on KELLI M 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.