KELLY RYAN (NPI# 1801306808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801306808 |
| Entity Type | Individual |
| Full Name | KELLY RYAN |
| Credential | NP |
| Practice Address |
300 E Boyd Ave Ste 100 Greenfield IN 46140-2816 |
| Practice Telephone | 3174625252 |
| Practice Fax Number | 3174628010 |
| Mailing Telephone | 3174625252 |
| Mailing Fax Number | 3174628010 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71007520A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1730739038 | Kelly Lynn Ryan | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-09-18 |
| Street Address |
300 E BOYD AVE STE 100 |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356520720 | Jyoti J. Zaveri | Physician Assistant | 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 | 2007-11-01 |
| 1689194086 | Andrew Rogers Morrow | Family Medicine | 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 | 2017-06-27 |
| 1780093765 | Andrew Kapsalis | Podiatrist | 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 | 2014-08-04 |
| 1790103315 | Andrew Daluga | Family Medicine | 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 | 2014-04-01 |
| 1922234723 | Michael Clay Lyons II | Podiatrist | 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| Find all providers in zip 46140 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 46140 |
Please comment or provide details below to improve the information on KELLY 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.