MRS. JENNIFER LYNN RYAN (NPI# 1083862197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083862197 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LYNN RYAN |
| Other Name | JENNIFER LYNN PARK |
| Credential | MS, LADC |
| Practice Address |
30 Controls Drive Suite 10 Shelton CT 06484-5434 |
| Practice Telephone | 4756752981 |
| Practice Fax Number | 4756752982 |
| Mailing Telephone | 4756752981 |
| Mailing Fax Number | 4756752982 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
001059 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1518528694 | Jennifer Ann Ryan | Nurse's Aide | 4380 Sw Macadam Ave Ste 530, Portland, OR 97239-6408 | 2019-06-27 |
| 1780240770 | Jennifer Ryan | Registered Nurse | 302 Heimer Rd, San Antonio, TX 78232-4887 | 2019-05-15 |
| 1093222499 | Jennifer Leigh Ryan | Speech-Language Pathologist | 44 Elm St Ste 10, Huntington, NY 11743-3403 | 2018-01-08 |
| 1801165030 | Jennifer Ryan | Speech-Language Pathologist | 219 Belvidere St, Saint Johnsbury, VT 05819-2354 | 2011-12-16 |
| 1225312564 | Jennifer Ryan | Licensed Practical Nurse | 80 N Fulton St, Auburn, NY 13021-2018 | 2011-10-05 |
| 1457584930 | Jennifer J Ryan | Occupational Therapy Assistant | 2400 Hexall Ct, Virginia Beach, VA 23454-6511 | 2009-08-31 |
| 1508027087 | Jennifer Ann Ryan | Speech-Language Pathologist | 2713 Tomahawk Dr, Waterford, MI 48328-3186 | 2008-06-18 |
| 1649482688 | Jennifer J Ryan | Physical Therapist | 919 E Valley Ln, Arlington Heights, IL 60004-3327 | 2007-05-03 |
| 1700906898 | Jennifer Ryan | Physical Therapist | One Posa Place, Dartmouth, MA 02747-2511 | 2007-03-30 |
| Street Address |
30 CONTROLS DRIVE SUITE 10 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447709142 | Cassandra Ramsey Aprn, LLC | Nurse Practitioner | 30 Controls Drive, Shelton, CT 06484 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787710 | Amanda Porto | Counselor | 3737 N Shelton Springs Rd, Shelton, WA 98584-9105 | 2018-04-17 |
| 1184085987 | Tammy Kindle | Counselor | 1635 Jackson St, Shelton, WA 98584-3031 | 2016-03-08 |
| 1043682602 | Cornelia Morris | Counselor | 12 Crescent St, Shelton, CT 06484-4103 | 2015-10-22 |
| 1922230242 | Jennifer L Davenport | Counselor | 2120 Adams St, Shelton, WA 98584-2902 | 2009-08-20 |
| 1700020534 | June Obrien | Counselor | 81 Se Paulcyn Ln, Shelton, WA 98584-9378 | 2009-04-23 |
| 1396918116 | Karen Howell Shephard | Counselor | 443 W Insels Rd, Shelton, WA 98584-7819 | 2008-04-13 |
| 1528264561 | Skokomish Indian Nation | Counselor | N 561 Tribal Center Rd, Shelton, WA 98584 | 2007-06-26 |
| 1083789317 | Lorraine M Coakley | Counselor | 273 Sunwood Drive, Shelton, CT 06484 | 2006-11-21 |
| 1245846252 | Judalyn Evette Gill | Counselor | 506 W Franklin St, Shelton, WA 98584-3517 | 2020-09-16 |
| 1134765266 | Kimberly Irene Hoage | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2019-11-25 |
| Find all providers in SHELTON | ||||
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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.