MRS. VIKKI BURLESON-BRYANT NP NPI 1669626800

NPI Information

NPI: 1669626800
Provider Name: MRS. VIKKI BURLESON-BRYANT, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: TAPESTRY TELEHEALTH PLLC

PECOS Registration: Yes

Address:
115 WOODLAWN DR
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 282-1480
Get Directions

MRS. Vikki Burleson-bryant, NP is a family nurse practitioner in Johnson City, TN with 16 years of experience. MRS. Vikki Burleson-bryant, NP NPI is 1669626800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 WOODLAWN DR
JOHNSON CITY, TN
ZIP 37604-978
Phone: (423) 282-1480
Fax: (423) 928-1353

The NPI 1669626800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 3/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		APN0000013646	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	13646	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1511210	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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