KIMBERLY RYAN (NPI# 1235273251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235273251 |
| Entity Type | Individual |
| Full Name | KIMBERLY RYAN |
| Practice Address |
4061 N. 54th Street Piggly Wiggly Food Market Milwaukee WI 53216 |
| Mailing Address |
2555 North Dr. Martin Luther King Jr. Drive Milwaukee WI 53212 |
| Practice Telephone | 4144471750 |
| Practice Fax Number | 4144471757 |
| Mailing Telephone | 4142672821 |
| Mailing Fax Number | 4143727289 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1870-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 1870-033 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935579 | Kimberly Ryan | Prevention Professional | 18509 Empresa Pl, Austin, TX 78738-2120 | 2020-02-24 |
| 1740849298 | Kimberly Michelle Ryan | Counselor | 6 Lancelot Rd, Shrewsbury, MA 01545-7752 | 2019-06-09 |
| 1760890958 | Kimberly Ryan | Social Worker | 2020 Bypass Rd, Brandenburg, KY 40108 | 2014-07-31 |
| 1073833968 | Kimberly Ryan | Social Worker | 2312 S 1950 W, Woods Cross, UT 84087-5016 | 2010-06-02 |
| 1710210620 | Kimberly Ryan | Occupational Therapist | 12700 Vista Pine Cir, Fort Myers, FL 33913-7973 | 2009-09-09 |
| 1194784512 | Kimberly O Ryan | Psychologist | 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109-2248 | 2006-03-23 |
| 1730643040 | Kimberly Christine Ryan | Physical Therapist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2019-01-31 |
| 1003312471 | Kimberly Rae Ryan | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-04-03 |
| 1124323472 | Kimberly A Ryan | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | 2011-01-18 |
| 1598084436 | Kimberly Nell Ryan | Dietitian, Registered | 55 Lake Ave N, Umass Memorial Medical Center - University Campus, Worcester, MA 01655-0002 | 2010-05-18 |
| Street Address |
4061 N. 54TH STREET PIGGLY WIGGLY FOOD MARKET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
| 1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
| 1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
| 1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
| Find all providers in MILWAUKEE | ||||
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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.