TARA KELLY BRYAN CRNA
NPI 1417979808
Nurse Anesthetist, Certified Registered in Daytona Beach, FL

Active since July 24, 2006
1890 LPGA BLVD, SUITE 200, DAYTONA BEACH, FL 32117(386) 274-1744(386) 274-1644 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara Kelly Bryan Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA KELLY BRYAN CRNA (NPI 1417979808) is an individual nurse anesthetist, certified registered in Daytona Beach, Florida, licensed in Florida (ARNP3044612) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417979808
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTARA KELLY BRYANCredential: CRNA
Location Address1890 LPGA BLVD, SUITE 200Daytona Beach, FL 32117-7138
Mailing Address1890 Lpga Blvd, Suite 210Daytona Beach, FL 32117-7138 · (386) 274-1744 · Fax (386) 274-1644
Fax(386) 274-1644
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 28, 2010
NPI 1417979808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in FL · ARNP3044612
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1890 LPGA BLVD, Daytona Beach, FL 32117

Other Identifiers 2

Medicare ID-Type UnspecifiedG2019FL
Medicare UPING2019YFL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1890 LPGA BLVD, 170
DAYTONA BEACH, FL 32117
Specialist
1890 LPGA BLVD, SUITE 250
DAYTONA BEACH, FL 32117
Radiology (Diagnostic Radiology)
1890 LPGA BLVD, SUITE 110
DAYTONA BEACH, FL 32117
Surgery (Vascular Surgery)
1890 LPGA BLVD, STE 250
DAYTONA BEACH, FL 32117
Specialist
1890 LPGA BLVD, SUITE 250
DAYTONA BEACH, FL 32117
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD, SUITE 230
DAYTONA BEACH, FL 32117
Surgery
1890 LPGA BLVD, SUITE 250
DAYTONA BEACH, FL 32117
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD, STE 230
DAYTONA BEACH, FL 32117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Bryan's NPI number?

The NPI number for Tara Bryan is 1417979808. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Tara Bryan located?

Tara Bryan practices at 1890 Lpga Blvd Suite 200, Daytona Beach, FL 32117. The listed phone number is (386) 274-1744.

What is Tara Bryan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Tara Bryan was last updated on July 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.