MRS. JESSICA DIANE MCKEOWN RYAN (NPI# 1407322670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407322670 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA DIANE MCKEOWN RYAN |
| Credential | ARNP |
| Practice Address |
18313 Paulson St Sw Rochester WA 98579-9262 |
| Practice Telephone | 3608278400 |
| Practice Fax Number | 3602737301 |
| Mailing Telephone | 3608278400 |
| Mailing Fax Number | 3602737301 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60909311 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326558784 | Jessica Lee Ryan | Speech-Language Pathologist | 16401 Se 318th St, Auburn, WA 98092-9285 | 2017-10-11 |
| 1508126673 | Jessica Suzanne Ryan | Counselor | 22011 State Highway 59 S, Robertsdale, AL 36567-8745 | 2012-05-23 |
| 1447528070 | Jessica Lynn Ryan | Behavioral Analyst | 2930 Maguire Rd, Ocoee, FL 34761-4750 | 2011-12-09 |
| 1326339029 | Jessica Ann Ryan | Social Worker | 11 Carroll St, Newburgh, NY 12550-5136 | 2011-04-28 |
| 1033763164 | Jessica L Ryan | Counselor | 1465 N 4th St Ste 113, Laramie, WY 82072-2066 | 2019-07-26 |
| 1417475039 | Jessica Marie Ryan | Pharmacist | 186 Providence St, West Warwick, RI 02893-2508 | 2017-09-04 |
| 1609391580 | Jessica Kendall Ryan | Developmental Therapist | 32 Osgood St, Andover, MA 01810-5411 | 2017-08-11 |
| 1720514243 | Jessica Lyn Ryan | Physical Therapist | 61 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2017-05-03 |
| 1255717930 | Jessica Ryan | Occupational Therapy Assistant | 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155 | 2015-08-05 |
| 1477944387 | Jessica Ryan | Counselor | 2600 W 9th St, Chester, PA 19013-2040 | 2015-02-13 |
| Street Address |
18313 PAULSON ST SW |
| City | ROCHESTER |
| State | WA |
| Zip Code | 98579-9262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205931508 | Providence Health & Services - Washington | Specialist | 18313 Paulson St Sw, Suite A, Rochester, WA 98579-9262 | 2006-09-13 |
| 1558713453 | Ashley Miraldi | Nurse Practitioner | 18313 Paulson St Sw, Rochester, WA 98579-9262 | 2016-07-05 |
| 1194091637 | N W Pediatric Center, Inc. P.s. | Dietitian, Registered | 18313 Paulson St Sw, Rochester, WA 98579-9262 | 2012-03-29 |
| 1275622201 | Julie Rice | Nurse Practitioner | 18313 Paulson St Sw, Suite A, Rochester, WA 98579-9262 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326510728 | Courtney Jeanette Oliver | Occupational Therapy Assistant | 10140 Us-12, Rochester, WA 98579 | 2018-12-23 |
| 1104141878 | Rochester Chiropractic Center | Chiropractor | 18234 Sargent Rd. Sw, Rochester, WA 98579 | 2010-04-06 |
| 1114139441 | Chad Allen Martin | Chiropractor | 18234 Sargent Road Sw, Rochester, WA 98579 | 2007-05-07 |
| 1902958556 | Claudia J Randall | Specialist | 18906 Nutmeg St. Sw, Rochester, WA 98579 | 2007-01-16 |
| 1669488516 | Rochester School District | Local Education Agency (LEA) | 9917 Highway 12 Sw, Rochester, WA 98579 | 2006-07-31 |
| 1982100657 | Morgane Marielle Le Guennec | Nurse Practitioner | 18313 Paulson St Sw Ste A, Rochester, WA 98579 | 2018-04-02 |
| 1376086124 | Angela J Gelder | Behavioral Analyst | 18124 Sunshine Ln Sw, Rochester, WA 98579-7528 | 2016-11-28 |
| 1821646993 | Yanet Flores Martinez | Behavioral Analyst | 18032 Daryl Ln Sw, Rochester, WA 98579-7530 | 2019-08-30 |
| 1386941862 | Kareena Angela Fountain | Specialist | 17719 Jordan St Sw, Rochester, WA 98579-8533 | 2011-02-18 |
| 1336670637 | Valerie Maden | Massage Therapist | 18234 Sargent Rd Sw, Rochester, WA 98579-8554 | 2017-03-27 |
| Find all providers in zip 98579 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1073111738 | Melissa E Spencer | Nurse Practitioner | 1338 E Ridge Rd Ste 101, Rochester, NY 14621-2017 | 2020-10-15 |
| 1295345254 | Kristin Colleen Fleming | Nurse Practitioner | 400 Red Creek Dr Ste 110, Rochester, NY 14623-4273 | 2020-08-05 |
| 1043820251 | Michelle Katherine Hiczun | Nurse Practitioner | 20 Hagen Dr Ste 330, Rochester, NY 14625-2664 | 2020-08-03 |
| 1689296949 | Suzanne Lee Bundrick | Nurse Practitioner | 1921 Westwood Ct Sw, Rochester, MN 55902-1170 | 2020-05-09 |
| 1649818931 | Erin Elizabeth Akins | Nurse Practitioner | 1882 Winton Rd S Ste 3, Rochester, NY 14618-3950 | 2019-12-17 |
| 1912544107 | Bethany Anderson Ganz | Nurse Practitioner | 115 16th Ave Nw, Rochester, MN 55901-0347 | 2019-12-06 |
| 1164068383 | Christina Kosachook | Nurse Practitioner | 990 South Ave Ste 104, Rochester, NY 14620-2740 | 2019-11-22 |
| 1073159679 | Avellina Ihuaku Okafor | Nurse Practitioner | 1328 Ridgeway Ave, Rochester, NY 14615-3716 | 2019-11-19 |
| 1053961409 | Melissa Guu-shyuan Feng | Nurse Practitioner | 995 Senator Keating Blvd Ste 3100, Rochester, NY 14618-2778 | 2019-09-18 |
| Find all providers in ROCHESTER | ||||
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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.