NICOLE RUTH RYAN (NPI# 1417576752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417576752 |
| Entity Type | Individual |
| Full Name | NICOLE RUTH RYAN |
| Credential | RN, DNP, PMHNP-BC |
| Practice Address |
4420 Dixie Hwy Ste 114 Louisville KY 40216-2986 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5024496464 |
| Practice Fax Number | 5024496465 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3014455 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976262 | Nicole Ryan | Dietitian, Registered | 13941 E Bend Dr, Strongsville, OH 44136-7809 | 2019-11-13 |
| 1235650177 | Nicole Ryan | Licensed Practical Nurse | 6493 Van Buren Rd, Warners, NY 13164-9746 | 2017-06-30 |
| 1356467492 | Nicole Christine Ryan | Marriage & Family Therapist | 328 S Central Ave Ste 205, Medford, OR 97501-7274 | 2007-03-21 |
| 1225694326 | Nicole E Ryan | Counselor | 4000 Laurel St, Anchorage, AK 99508-5333 | 2019-05-14 |
| 1932693348 | Nicole Ryan | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2018-06-19 |
| 1275085441 | Nicole Marie Ryan | Counselor | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2016-11-03 |
| 1164785242 | Nicole M. Ryan | Social Worker | 7550 South State Street, Lowville, NY 13367 | 2012-06-22 |
| 1578868675 | Nicole Victoria Ryan | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2011-01-20 |
| 1811182207 | Nicole Jennifer Ryan | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2007-09-10 |
| 1699811679 | Nicole Alane Ryan | Physical Therapist | 6500 Corporate Drive, Johnston, IA 50131-1603 | 2007-01-29 |
| Street Address |
4420 DIXIE HWY STE 114 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851364780 | John J Wernert IIi | Psychiatry & Neurology | 4420 Dixie Hwy Ste 114, Louisville, KY 40216-2986 | 2006-02-10 |
| 1568926384 | Sarah Catherine Keller Bray | Family Medicine | 4420 Dixie Hwy Ste 114, Louisville, KY 40216-2986 | 2019-01-25 |
| 1629578174 | Shannon Leigh O'donnell | Nurse Practitioner | 4420 Dixie Hwy Ste 114, Louisville, KY 40216 | 2018-02-20 |
| 1659809929 | Alicia Ryan Lankford | Nurse Practitioner | 4420 Dixie Hwy Ste 114, Louisville, KY 40216 | 2017-05-31 |
| 1942660386 | Brisyn D. Ritchie | Nurse Practitioner | 4420 Dixie Hwy Ste 114, Louisville, KY 40216-2986 | 2016-02-27 |
| 1245331867 | Robert James Sennett Jr. | Social Worker | 4420 Dixie Hwy Ste 114, Louisville, KY 40216-2986 | 2006-09-26 |
| 1174573034 | Anne M Fogle | Family Medicine | 4420 Dixie Hwy Ste 114, Louisville, KY 40216-2986 | 2006-05-11 |
| 1245296151 | Amy M Byerly | Family Medicine | 4420 Dixie Hwy Ste 114, Louisville, KY 40216-2986 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1235768037 | Patricia Amber Estes | Nurse Practitioner | 234 E Gray St Ste 154, Louisville, KY 40202-1903 | 2020-04-03 |
| 1659903201 | Farrah Alayne Thornsberry | Nurse Practitioner | 1400 Browns Ln Ste B, Louisville, KY 40207-4696 | 2020-02-11 |
| 1376101634 | Erin Lee Srader | Nurse Practitioner | 544 Baxter Ave, Louisville, KY 40204-1784 | 2019-06-03 |
| 1104387752 | Kurt F Kristiansen | Nurse Practitioner | 1862 Douglass Blvd, Louisville, KY 40205-1851 | 2019-03-27 |
| 1831573351 | Karen P Black | Nurse Practitioner | 4504 Spring Bay Ct, Louisville, KY 40241-1773 | 2015-07-14 |
| 1366787798 | Kennetha Porter | Nurse Practitioner | 4710 Champions Trace Ln Ste 102, Louisville, KY 40218-3496 | 2012-12-12 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
Please comment or provide details below to improve the information on NICOLE RUTH RYAN.
| 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.