KIMBERLY NELL RYAN (NPI# 1598084436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598084436 |
| Entity Type | Individual |
| Full Name | KIMBERLY NELL RYAN |
| Credential | MS, RD, LDN |
| Practice Address |
55 Lake Ave N Umass Memorial Medical Center - University Campus Worcester MA 01655-0002 |
| Practice Telephone | 7744417820 |
| Mailing Telephone | 7744417820 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
2883 | MA | Dietary & Nutritional Service Providers |
| 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 |
| 1235273251 | Kimberly Ryan | Nurse Practitioner | 4061 N. 54th Street, Piggly Wiggly Food Market, Milwaukee, WI 53216 | 2007-02-16 |
| 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 |
| Street Address |
55 LAKE AVE N UMASS MEMORIAL MEDICAL CENTER - UNIVERSITY CAMPUS |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679131361 | Umass Memorial Medical Center, Inc | Dietitian, Registered | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-05-29 |
| 1043874886 | Susan Anne Tripp | Dietitian, Registered | 119 Belmont Street, 5th Floor Nicu, Worcester, MA 01605 | 2019-04-26 |
| 1992023857 | Amy Danielle Toscano | Dietitian, Registered | 55 Lake Ave N, Worcester, MA 01655-0002 | 2010-05-17 |
| 1790961126 | Leslie Anne Song | Dietitian, Registered | 55 Lake Ave N, Department of Nutrition and Food Services, Worcester, MA 01655-0002 | 2008-01-16 |
| 1639378755 | Vanessa K Laffert | Dietitian, Registered | 55 Lake Ave N, Umass Memorial Medical Center Nutrition Dept, Worcester, MA 01655-0002 | 2007-07-18 |
| 1376746420 | Melanie Maletta | Dietitian, Registered | 55 Lake Ave N, Umass Memorial Children's Medical Center, Worcester, MA 01655-0002 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487123121 | Lesley Frances Varone | Dietitian, Registered | 333 Longwood Ave # Lo415, Boston, MA 02115-5711 | 2018-11-23 |
| 1770090466 | Lexington Nutrition Services | Dietitian, Registered | 390 Woburn St, Lexington, MA 02420-2326 | 2018-01-04 |
| 1285075333 | Amira Y Pellett | Dietitian, Registered | 26 South Prospect Street Suite No. 9, Valley Nutrition Counselling, Amherst, MA 01002 | 2013-07-17 |
| 1619167806 | Carolyn A Butterworth | Dietitian, Registered | 40 2nd Ave Ste 340, Waltham, MA 02451-1133 | 2007-07-25 |
| 1083244545 | Tina Joan Sun | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-01-23 |
| 1699324285 | Kathrina Prelack | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-09-06 |
| 1841852811 | Umass Memorial Healthalliance Clinton Hospital Inc | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-07-01 |
| 1659939569 | Jennifer Hall | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-06-05 |
| 1467016857 | Allison Shaffer | Dietitian, Registered | 333 Longwood Ave Fl 4, Boston, MA 02115-5711 | 2019-05-01 |
| 1124511456 | Toni C Fiori | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2018-06-12 |
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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.