KATHY RYALS (NPI# 1316218563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316218563 |
| Entity Type | Individual |
| Full Name | KATHY RYALS |
| Credential | R.N. |
| Practice Address |
515 N 16th St Payette ID 83661-2774 |
| Practice Telephone | 2086426416 |
| Practice Fax Number | 2086422829 |
| Mailing Telephone | 2086426416 |
| Mailing Fax Number | 2086422829 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | N 32991 | ID | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
N 32991 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUESHIELD | 000010018824 | 01 | |
| ID | BLUE CROSS OF IDAHO | HW348 | 01 |
| Street Address |
515 N 16TH ST |
| City | PAYETTE |
| State | ID |
| Zip Code | 83661-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588111041 | Penny L Dunham | Social Worker | 515 N 16th St, Payette, ID 83661-2774 | 2016-09-01 |
| 1609322148 | Dena Ann Baldwin | Social Worker | 515 N 16th St, Payette, ID 83661-2774 | 2016-08-25 |
| 1518413053 | Brian R Ford | Psychologist | 515 N 16th St, Payette, ID 83661-2774 | 2016-08-25 |
| 1750836169 | Keri Lyn Bennett | Registered Nurse | 515 N 16th St, Payette, ID 83661-2774 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811279268 | Victoria L Wallace | Pharmacist | 405 S 8th Street, Payette, ID 83661 | 2011-09-12 |
| 1619056694 | James H Moore | Dentist | 925 2nd Ave No, Payette, ID 83661 | 2006-11-02 |
| 1831279538 | Justin Craig Smith | Dentist | 1105 3rd Ave North, Payette, ID 83661 | 2006-10-17 |
| 1710021506 | Dental Health Care With Heart | Dentist | 823 Center Ave, Payette, ID 83661 | 2007-02-16 |
| 1295781110 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 405 S Main St, Payette, ID 83661 | 2006-05-25 |
| 1225270523 | Norma Jean Hershey | Counselor | 695 2nd Ave S, North Entrance, Payette, ID 83661-0694 | 2009-04-01 |
| 1558498097 | Idahodhwbh Payettamhclinic | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| 1689984254 | Idaho Dept of Health & Welfare | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2010-10-18 |
| 1154459444 | Idahodhwbh3 Payette Cmh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-03-01 |
| 1568590073 | Idahodhwbh3 Payette Amh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| Find all providers in zip 83661 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669408860 | Jane E Seys | Clinical Nurse Specialist | 13500 S. Pleasant Valley Rd, Idaho State Correctional Institution, Kuna, ID 83634 | 2006-06-23 |
| 1942201520 | Mary A Curtis | Clinical Nurse Specialist | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2005-08-09 |
| 1952622524 | Affinity, Inc. | Clinical Nurse Specialist | 8100 W Emerald St Ste 150, Boise, ID 83704-9057 | 2010-06-18 |
| 1871753061 | Elisabeth Gayle Kinghorn | Clinical Nurse Specialist | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2008-06-11 |
| 1083880181 | Judith Eileen Sullivan | Clinical Nurse Specialist | 223 W State St, Boise, ID 83702-6013 | 2008-05-08 |
| 1619998713 | Connie J Judd | Clinical Nurse Specialist | 223 16th Ave N, Nampa, ID 83687-4058 | 2006-07-22 |
| 1316996309 | Deborah Gay Butte | Clinical Nurse Specialist | 300 S 23rd St, Boise, ID 83702-9100 | 2006-05-08 |
Please comment or provide details below to improve the information on KATHY RYALS.
| 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.