BONITA ANNETTE RYALL (NPI# 1851366694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851366694 |
| Entity Type | Individual |
| Full Name | BONITA ANNETTE RYALL |
| Credential | N.P. |
| Practice Address |
731 Summit Ave Medford OR 97501-2349 |
| Mailing Address |
931 Chevy Way Medford OR 97504-4127 |
| Practice Telephone | 5418423771 |
| Practice Fax Number | 5418423084 |
| Mailing Telephone | 5416903555 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
75721 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
731 SUMMIT AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446311 | Theresa Bui | Nurse Practitioner | 101 Main St Ste 201, Medford, MA 02155-4530 | 2020-01-26 |
| 1952780736 | Melissa Stockman Adult Care Np PC | Nurse Practitioner | 41 Greenport Ave, Medford, NY 11763-3601 | 2015-05-26 |
| 1598959553 | Heather Lynn Horn | Nurse Practitioner | 713 Summit Ave, Medford, OR 97501-2349 | 2007-09-04 |
| 1477533263 | Diana Scholtz | Nurse Practitioner | 750 Murphy Rd, Medford, OR 97504-8426 | 2006-01-18 |
| 1528532686 | Catherine Margaret Flynn | Nurse Practitioner | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2019-01-11 |
| 1609391721 | Amy Lauren Montes | Nurse Practitioner | 816 W 10th St, Medford, OR 97501-3016 | 2017-08-09 |
| 1770033474 | Whitney A Serafini | Nurse Practitioner | 840 Royal Ave, Ste 110, Medford, OR 97504-6461 | 2016-10-06 |
| 1790038495 | Jennifer Katharine Boudreaux | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2012-10-18 |
| 1548332885 | Janet L Meyer | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2006-11-14 |
| 1164505525 | Cheryl Lynn Pippin | Nurse Practitioner | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2006-10-21 |
| Find all providers in MEDFORD | ||||
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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.