KELLY LYNN RYAN


Address: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550
Phone: 8889494864

KELLY LYNN RYAN (NPI# 1730739038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730739038
Entity Type Individual
Full Name KELLY LYNN RYAN
Practice Address 4460 S Highland Dr Ste 210
Salt Lake City
UT 84124-3550
Practice Telephone 8889494864
Mailing Telephone 8889494864
Enumeration Date 2019-09-18
Last Update Date 2019-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers KELLY RYAN

NPI Name Taxonomy Address Enumeration
1528543337 Kelly Ryan Lactation Consultant, Non-RN 3533 Michael Dr, San Mateo, CA 94403-4208 2018-09-27
1497116131 Kelly Ryan Physical Therapist 15 Freeport Ave, Point Lookout, NY 11569-3015 2016-03-08
1124455258 Kelly Lynn Ryan Social Worker 411 Meridian Ave, Apt 4, Miami Beach, FL 33139-6528 2013-10-03
1760738140 Kelly K Ryan Physical Therapy Assistant 35 Holly Park Ln, #122, Lexington, VA 24450-3756 2012-08-03
1518196963 Kelly Michelle Ryan Pharmacist 2200 Sw Gage Blvd Bldg 9, Topeka, KS 66622-2686 2009-07-07
1700091287 Kelly Mccabe Ryan Counselor 27 Burgate St, Chepachet, RI 02814-2303 2007-05-10
1194806539 Kelly Ryan Physician Assistant 263 Seventh Ave, 4b, Brooklyn, NY 11215 2006-10-18
1851360978 Kelly Ann Ryan Social Worker 1021 Stuyve Scent Avenue, Union, NJ 07083 2006-03-14
1932748647 Kelly Margaret Ryan Behavior Technician 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 2019-12-27
1235690249 Kelly Ryan Obstetrics & Gynecology 2160 S 1st Ave, Maywood, IL 60153-3328 2019-03-31

Office Location

Street Address 4460 S HIGHLAND DR STE 210
City SALT LAKE CITY
State UT
Zip Code 84124-3550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912077629 Charmaine Regina Stapfer Counselor 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 2006-11-09
1679174908 Theresa Furbish Nurse Practitioner 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-11-03
1841891173 Anastasia Holmen Case Manager/Care Coordinator 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-11-03
1740881077 Marianne Longoria Case Manager/Care Coordinator 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-11-03
1700487048 Michelle Teresa Wilcock Pharmacy Technician 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-11-03
1730780065 Wilson Lee Case Manager/Care Coordinator 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-11-03
1952901837 Brenda Sariah Lopez Case Manager/Care Coordinator 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-10-29
1437759669 Ian Grant White Case Manager/Care Coordinator 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-10-27
1528668035 Carina Terry Case Manager/Care Coordinator 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-10-26
1114526282 Alishka Khaosanga Case Manager/Care Coordinator 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-10-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
Find all providers in zip 84124

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689281818 Devery White Case Manager/Care Coordinator 195 N 1900 W, Salt Lake City, UT 84116 2020-10-01
1326652116 Brenna Colleen Ball Case Manager/Care Coordinator 671 N Oakley St, Salt Lake City, UT 84116-3833 2020-08-31
1437761368 Tonia Price Case Manager/Care Coordinator 625 S 200 E, Salt Lake City, UT 84111-3801 2020-08-21
1386264802 Mckensee M Carter Case Manager/Care Coordinator 334 E 100 S, Salt Lake City, UT 84111 2020-04-24
1619502374 Bradford Nielson Case Manager/Care Coordinator 344 E 100 S # B, Salt Lake City, UT 84111-1700 2020-03-03
1225662521 Rob Lequia Case Manager/Care Coordinator 344 E 100 S # 344e100s, Salt Lake City, UT 84111-1700 2020-02-25
1154970507 Lori Cerar Case Manager/Care Coordinator 230 W 200 S Ste 142, Salt Lake City, UT 84101-1337 2019-09-09
1457907776 Christina Lee Oppenheimer Case Manager/Care Coordinator 230 W 200 S # 142, Salt Lake City, UT 84101-1337 2019-08-13
1184196230 Roselia Yanella Chavez Case Manager/Care Coordinator 1233 W 700 S, Salt Lake City, UT 84104-2657 2018-12-28
1588149132 Madeleine Smith Case Manager/Care Coordinator 344 E 1st S, Salt Lake City, UT 84111-1700 2018-09-29
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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