KATHLEEN RYAN (NPI# 1245372622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245372622 |
| Entity Type | Individual |
| Full Name | KATHLEEN RYAN |
| Credential | APN |
| Practice Address |
6907 Ellis Ct Apt C 6907 C Fort Polk LA 71459-3123 |
| Practice Telephone | 3372811040 |
| Mailing Telephone | 3372811040 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
254355 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
254355 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061176 | Kathleen M Ryan | Social Worker | 22 Ormond St, Rockville Centre, NY 11570-5533 | 2020-07-28 |
| 1487166971 | Kathleen Ryan | Registered Nurse | 216 Ramapo Rd, Garnerville, NY 10923-1511 | 2017-10-25 |
| 1912270968 | Kathleen Jean Ryan | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1659356905 | Kathleen L Ryan | Specialist | 204 Ark Rd, Ste 206 Lmc I, Mount Laurel, NJ 08054-3100 | 2005-12-09 |
| 1003461542 | Kathleen Ryan | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2019-08-01 |
| 1518449677 | Kathleen M Ryan | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2018-09-05 |
| 1861903460 | Kathleen Ryan | Behavioral Analyst | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2017-10-23 |
| 1891217568 | Kathleen Donovan Ryan | Physician Assistant | 22 Bramhall St, Portland, ME 04102-3134 | 2017-07-13 |
| 1811379340 | Kathleen Ryan | Counselor | 901 Chippewa St, Catholic Charities of Shiawassee and Genesee Counties, Flint, MI 48503-1552 | 2015-06-20 |
| 1174920052 | Kathleen Ryan | Registered Nurse | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2014-11-20 |
| Street Address |
6907 ELLIS CT APT C 6907 C |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1922524529 | Keith Allan Smiley | Dentist | 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 | 2017-08-16 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| Find all providers in zip 71459 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003863 | Kristen Dickerson Burns | Nurse Practitioner | 2530 Bert Kouns Industrial Loop Ste 138, Shreveport, LA 71118-6114 | 2020-11-05 |
| 1932717576 | Tera Rachal Cooke | Nurse Practitioner | 1712 Missile Base Rd, Stonewall, LA 71078-8328 | 2020-07-20 |
| 1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
| 1114575396 | Jennifer Marie Williams | Nurse Practitioner | 327 Industrial Dr, Jonesboro, LA 71251-5498 | 2019-08-30 |
| 1730735663 | Dannette Furgerson | Nurse Practitioner | 2625 Leaf Ln, Shreveport, LA 71109-3010 | 2019-08-15 |
| 1285288951 | Valarie Golden Clark | Nurse Practitioner | 441 Route 66, Dequincy, LA 70633-5315 | 2019-07-30 |
| 1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
| 1841706769 | Kellie Gater | Nurse Practitioner | 1111 Medical Center Blvd Ste S650, Marrero, LA 70072-3158 | 2017-12-15 |
| 1730601626 | Jennifer Holifield | Nurse Practitioner | 701 Metairie Rd Ste 2a-220, Metairie, LA 70005-4050 | 2017-07-12 |
| 1154773521 | Linda H Stodghill | Nurse Practitioner | 212 Rhymes St, Rayville, LA 71269-2917 | 2016-07-08 |
| Find all providers with the same taxonomy | ||||
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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.