JESSICA DIAN BRYANT (NPI# 1194332189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194332189 |
| Entity Type | Individual |
| Full Name | JESSICA DIAN BRYANT |
| Practice Address |
204 Hampton Dr Venice CA 90291-2623 |
| Mailing Address |
14220 Burbank Blvd Apt 123 Sherman Oaks CA 91401-4945 |
| Practice Telephone | 3107337654 |
| Mailing Telephone | 3107337654 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801331509 | Jessica Bryant | Occupational Therapist | 260 Morningview Dr, Boaz, AL 35956-2036 | 2017-01-04 |
| 1215536826 | Jessica L Bryant | Registered Nurse | 1403 Honaker Ave, Princeton, WV 24740-3065 | 2020-10-23 |
| 1598371353 | Jessica Bryant | Pharmacist | 5795 Princess Anne Rd, Virginia Beach, VA 23462-3224 | 2020-09-17 |
| 1548879026 | Jessica M Bryant | Psychologist | 1201 Nw 16th St, Miami, FL 33125-1624 | 2020-07-30 |
| 1386291714 | Jessica Bryant | Social Worker | 231 Commerce St, Greenville, NC 27858-5029 | 2019-08-21 |
| 1518512870 | Jessica S. Bryant | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-08-05 |
| 1689134165 | Jessica Bryant | Nurse Practitioner | 613 23rd St Ste 350, Ashland, KY 41101-2879 | 2019-03-21 |
| 1518468438 | Jessica Renee Bryant | Occupational Therapist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-02-26 |
| 1104299072 | Jessica Bryant | Social Worker | 700 Childrens Dr, Columbus, OH 43205-2664 | 2015-11-02 |
| 1790195758 | Jessica Bryant | Orthopaedic Surgery | Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115 | 2014-04-30 |
| Street Address |
204 HAMPTON DR |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265569545 | Joaquin Ortega | Rehabilitation Practitioner | 204 Hampton Dr, Dept 3100, Venice, CA 90291-2623 | 2007-02-27 |
| 1972104412 | Keira Armstrong | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-11-02 |
| 1588261614 | Joel Perez Jr. | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-10-01 |
| 1841804135 | Jonathon Vorpe | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-09-03 |
| 1730792540 | Austin Michael Martinez | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-08-31 |
| 1396354288 | Efren Espinoza | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-27 |
| 1831717917 | Carla A Gonzalez | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-06 |
| 1164049540 | Alicia Crooks | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-01 |
| 1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| 1356968283 | Veronica Morrison | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768686 | Traci Kapp | Student in an Organized Health Care Education/Training Program | 1621 Venice Blvd Apt 205, Venice, CA 90291-5966 | 2020-07-23 |
| 1386910388 | Tova Fuller | Student in an Organized Health Care Education/Training Program | 101 Dudley Ave Apt 309, Venice, CA 90291-2302 | 2012-03-24 |
| 1710204821 | Jenelle Marie Girard | Student in an Organized Health Care Education/Training Program | 2724 Abbot Kinney Blvd, #204, Venice, CA 90291-5505 | 2010-04-28 |
| 1972104412 | Keira Armstrong | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-11-02 |
| 1588261614 | Joel Perez Jr. | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-10-01 |
| 1821625864 | Tanya Kavoussi | Student in an Organized Health Care Education/Training Program | 323 Lincoln Blvd, Venice, CA 90291-2842 | 2020-03-26 |
| 1255963872 | Laura Bautista | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-02-11 |
| 1477194702 | Calvin Lee | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-8633 | 2019-10-08 |
| 1376194993 | Sophie Offer | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2019-09-25 |
| 1801445846 | Robyn Roberts | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-8633 | 2019-09-11 |
| Find all providers in VENICE | ||||
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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.