KRYSTINE RYAN


Address: 400 John Deere Rd Bldg 1, Moline, IL 61265-6898
Phone: 3095173036

KRYSTINE RYAN (NPI# 1225583453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225583453
Entity Type Individual
Full Name KRYSTINE RYAN
Other Name KRYSTINE MCCLELLAN
Credential ARNP
Practice Address 400 John Deere Rd Bldg 1
Moline
IL 61265-6898
Practice Telephone 3095173036
Practice Fax Number 3097971088
Mailing Telephone 3095173036
Mailing Fax Number 3097971088
Enumeration Date 2016-08-17
Last Update Date 2016-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner A129550 IA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
209014722 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 400 JOHN DEERE RD BLDG 1
City MOLINE
State IL
Zip Code 61265-6898

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669476339 Venkateswararao Alla Internal Medicine 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2005-06-09
1700239449 Lindsay Tapia Nurse Practitioner 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2016-07-18
1497131304 Saysha M. Bolden Nurse Practitioner 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2015-08-03
1174870778 Nathan T Mills Nurse Practitioner 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2012-08-14
1659669240 Ravinder Pal Singh Bhatti Internal Medicine 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2011-07-15
1134339203 Suresh Alla Internal Medicine 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2007-05-23
1154462224 Rajesh Alla Internal Medicine 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2007-02-09
1740349034 Quad Cities Nephrology Associates, P.l.c., LLC Internal Medicine 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2006-12-06
1285739151 Pamela S. Vipond Nurse Practitioner 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2006-09-14
1558300780 Deanne M Hobert Nurse Practitioner 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2006-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861035438 Ora Orthopedics, PC Orthopaedic Surgery 510 Valley View Drive, Moline, IL 61265 2019-10-25
1598231698 Secure Dental Vi Dentist 106 16th St, Unit #90, Moline, IL 61265 2018-10-17
1487152088 Fjellheim P.c Chiropractor 1535 47th Avenue, Suite 5, Moline, IL 61265 2018-01-29
1326567199 Elizabeth Ann Teichler Respiratory Therapist, Registered 4360 7th Street, Moline, IL 61265 2017-09-13
1497279913 Caroline M Mather Behavioral Analyst 2430 6th Avenue, Moline, IL 61265 2017-07-26
1639625239 Elizabeth Anderson Nurse's Aide 4319 26th Ave Apt 1, Moline, IL 61265 2016-09-01
1437604154 Lindsey Bollaert Nurse Practitioner 1100 36th Ave, Moline, IL 61265 2016-08-23
1437541869 Divvymed, LLC Pharmacy 4300 44th Ave, Moline, IL 61265 2015-02-23
1477955250 Todd Stone Nurse Practitioner 1100 3th Avenue, Moline, IL 61265 2014-09-23
1588084479 Familia Dental Moline LLC Dentist 1102 4th Ave, Moline, IL 61265 2014-04-18
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073146692 Quad Cities Regenerative Medicine, LLC Nurse Practitioner 4101 John Deere Rd Ste 2, Moline, IL 61265-6790 2020-02-21
1265071617 Eve Buettell Williams Nurse Practitioner 1430 Evergreen, Moline, KS 67353-5330 2020-01-02
1235785403 Angela Marie Felsing Nurse Practitioner 616 35th Ave Ste 2, Moline, IL 61265-6158 2019-08-14
1871558858 Kathryn D Erickson Nurse Practitioner 500 John Deere Rd Ste 400, Moline, IL 61265-6892 2006-04-20
1083687040 Christina Leone Nordick Nurse Practitioner 4101 John Deere Rd, Moline, IL 61265-6790 2006-02-09
1902325004 Frances Darlene Dickerson Nurse Practitioner 4370 7th St, Moline, IL 61265-6867 2017-09-11
1982124566 Dana Gibson Nurse Practitioner 400 John Deere Rd, Moline, IL 61265-6898 2017-06-23
1700239449 Lindsay Tapia Nurse Practitioner 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 2016-07-18
1386003358 Carley Mccloud Nurse Practitioner 4350 7th St, Moline, IL 61265-6870 2016-02-18
1407239478 Ryane M Passno Nurse Practitioner 1100 36th Avenue, Moline, IL 61265 2015-07-08
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Competitor

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City MOLINE
Zip Code 61265

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Dataset Information

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.

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