DESIREE BRIANA BRYANT (NPI# 1306335773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306335773 |
| Entity Type | Individual |
| Full Name | DESIREE BRIANA BRYANT |
| Credential | LPN |
| Practice Address |
116 E Robert S Kerr Blvd Wynnewood OK 73098-6621 |
| Practice Telephone | 4056654351 |
| Practice Fax Number | 4056656372 |
| Mailing Telephone | 4056654351 |
| Mailing Fax Number | 4056656372 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 59160 | OK | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 N Powell Ave, Wynnewood, OK 730986608 | 4056651010 | 4056651001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982112058 | Desiree Renee Bryant | Massage Therapist | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2018-01-11 |
| Street Address |
116 E ROBERT S KERR BLVD |
| City | WYNNEWOOD |
| State | OK |
| Zip Code | 73098-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929726 | James K Robberson | Family Medicine | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2005-08-12 |
| 1700394582 | Samantha Marie Lopez | Licensed Practical Nurse | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2018-01-16 |
| 1699138149 | Murray County Urgent Care Pllc | Clinic/Center | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2016-04-01 |
| 1841671708 | Wynnewood Diagnostic Laboratory | Clinical Medical Laboratory | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2015-06-16 |
| 1700189065 | Wynnewood Medical Clinics | Internal Medicine | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2010-12-08 |
| 1194964999 | Paige Juhree Theissen | Physician Assistant | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922486216 | Sphinx Diagnostics, LLC | Clinical Medical Laboratory | 106 N. Powell Ave., Ste 206, Wynnewood, OK 73098 | 2015-05-07 |
| 1053710053 | Shelly Rae Robbins | Nurse Practitioner | 106 N Powell, Wynnewood, OK 73098 | 2014-08-15 |
| 1992127955 | Rance Lane Rue | Marriage & Family Therapist | 202 South Washita Avenue, Wynnewood, OK 73098 | 2014-01-10 |
| 1346579836 | Tammy Sue Shirley | Behavioral Analyst | 406westchickasawwynnewood,oklahoma73098, 202southwashita, Wynnewood, OK 73098 | 2009-12-14 |
| 1346400512 | Dr Kyle R Moore Dds | Dentist | 101 Jameson Drive, Wynnewood, OK 73098 | 2008-06-11 |
| 1063619286 | Mike Don Dyson | Counselor | 202 S. Washita, Wynnewood, OK 73098 | 2007-06-29 |
| 1659432706 | Michael James Payne | Pharmacist | 1300 E. Robert S. Kerr, Wynnewood, OK 73098 | 2006-12-13 |
| 1518399104 | Wynnewood Urgent Care and Immediate Care Center PC | Clinic/Center | 106 N.powell, Wynnewood, OK 73098-0698 | 2013-08-06 |
| 1356402424 | Davids Pharmacy | Pharmacy | 1300 E Kerr Blvd, Wynnewood, OK 73098-1005 | 2006-12-13 |
| 1851736029 | Garvin County Occupational & Family Medicine LLC | Clinic/Center | 1202 E Robert S Kerr Blvd, Wynnewood, OK 73098-2054 | 2013-05-01 |
| Find all providers in zip 73098 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394582 | Samantha Marie Lopez | Licensed Practical Nurse | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777634 | Karen Ann Crosby | Licensed Practical Nurse | 205 E Ninth St, Wright City, OK 74766 | 2020-10-12 |
| 1013514504 | Tammie Renee Langford | Licensed Practical Nurse | 417952 E 1910 Rd, Antlers, OK 74523-7441 | 2020-10-07 |
| 1033722145 | Karen Gail Nickels | Licensed Practical Nurse | 29408 S 548 Rd, Cookson, OK 74427-2423 | 2020-08-28 |
| 1942825872 | Larita Leake | Licensed Practical Nurse | 10404 Vineyard Blvd Ste C, Oklahoma City, OK 73120-3739 | 2020-06-16 |
| 1568028355 | Kimberly Dawn Richardson | Licensed Practical Nurse | 9213 Ne 10th St, Midwest City, OK 73130-1317 | 2019-05-16 |
| 1265992515 | Jacqueline Chanthay Williams | Licensed Practical Nurse | 1323 E Ash St, Altus, OK 73521-2908 | 2019-03-22 |
| 1114484623 | Sabrina Susie Rocha | Licensed Practical Nurse | 9811 E 12th St, Tulsa, OK 74128-3803 | 2019-02-21 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1003388497 | Katrina Ann Bush | Licensed Practical Nurse | 1721 E Omaha St Apt B3, Broken Arrow, OK 74012-0363 | 2018-12-22 |
| Find all providers with the same taxonomy | ||||
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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.