TAYSHA MARIE RYAN (NPI# 1770123804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770123804 |
| Entity Type | Individual |
| Full Name | TAYSHA MARIE RYAN |
| Practice Address |
302 E Stoughton St Ste 2 Champaign IL 61820-5414 |
| Mailing Address |
712 Eastgate Dr Charleston IL 61920-2314 |
| Practice Telephone | 2173598022 |
| Mailing Telephone | 2172321297 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209020376 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 E STOUGHTON ST STE 2 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831513985 | Heather Bolser | Nurse Practitioner | 206 W Anthony Dr, Champaign, IL 61822-1218 | 2014-02-10 |
| 1619308574 | Kimberly Freemon | Nurse Practitioner | 2902 Farber Dr, Champaign, IL 61822-1072 | 2013-12-03 |
| 1417263633 | Sherry Smith | Nurse Practitioner | 2043 S Neil St, Champaign, IL 61820-7219 | 2010-08-25 |
| 1851431118 | Carole J Schoene | Nurse Practitioner | 1600 W Bradley Ave, E110, Champaign, IL 61821-2208 | 2007-02-07 |
| 1396231767 | Lauren Ashleigh Frerichs | Nurse Practitioner | 101 W University Ave, Champaign, IL 61820-3909 | 2018-07-09 |
| 1003304064 | Jennifer Lynn Laubscher | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2018-04-25 |
| 1902310642 | Julie A Shain | Nurse Practitioner | 2300 S 1st St, Champaign, IL 61820-7661 | 2017-11-16 |
| 1578074506 | Nicole Dawn Almeida | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822 | 2017-10-17 |
| 1710424965 | April D Johnson | Nurse Practitioner | 1701 Curtis Rd, Conv. Care, Champaign, IL 61822-9678 | 2017-01-26 |
| 1215479654 | Jennifer Ingold | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2016-11-16 |
| Find all providers in CHAMPAIGN | ||||
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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.