Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Bryant

Individual provider Family Nurse Practitioner · NPI 1811397177

Kathryn Bryant is a Nurse Practitioner in Petaluma, California. Graduated from University of Nevada School of Medicine in 2014, 12 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Nevada.

Years since qualifying
12
Trained at
University of Nevada School of Medicine
Licensed in
CA, NV
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

905 E Washington St
Petaluma, CA 94952-3389
Phone: (707) 763-9891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5070 Ion Dr, Sparks, NV 89436-1612 — (775) 352-5335

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95004883 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN001756 (NV)

Record details

NPI number1811397177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2014
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address5070 Ion Dr, Sparks, NV 89436-1612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Petaluma