KIMBERLY RYAN (NPI# 1952935579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952935579 |
Entity Type | Individual |
Full Name | KIMBERLY RYAN |
Credential | CTNC, CHHP |
Practice Address |
18509 Empresa Pl Austin TX 78738-2120 |
Practice Telephone | 5128267918 |
Mailing Telephone | 5128267918 |
Enumeration Date | 2020-02-24 |
Last Update Date | 2020-02-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 405300000X | Prevention Professional | 97373506 | TX | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1598084436 | Kimberly Nell Ryan | Dietitian, Registered | 55 Lake Ave N, Umass Memorial Medical Center - University Campus, Worcester, MA 01655-0002 | 2010-05-18 |
Street Address |
18509 EMPRESA PL |
City | AUSTIN |
State | TX |
Zip Code | 78738-2120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841808987 | Innovative Sports Therapy LLC | Clinic/Center | 3932-a Rr 620 S., Bee Cave, TX 78738 | 2020-07-15 |
1447807839 | Texas Physical Therapy Specialists | Durable Medical Equipment & Medical Supplies | 101 Medical Parkway, Suite 110, Lakeway, TX 78738 | 2019-08-21 |
1831744101 | Laurel Brynne Boyd | Physical Therapist | 2501 Rr 620, Suite 140, Lakeway, TX 78738 | 2019-08-05 |
1033777404 | Maria Wesley-pinion Lcsw Csat Pllc | Social Worker | 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 | 2019-05-31 |
1801362637 | Iq Dental Pllc | Dentist | 15511 State Highway 71 West, Suite # 120, Bee Cave, TX 78738 | 2018-10-19 |
1790264687 | Doctx3 Pllc | Orthopaedic Surgery | 11514 Bee Caves Rd., Suite 130, Bee Cave, TX 78738 | 2018-08-10 |
1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
1518456417 | Chemist Laboratory LLC | Pharmacy | 3944 Ranch Road 620s, Bldg 6, Bee Cave, TX 78738 | 2018-05-07 |
1700397809 | Katrina Balangue | Speech-Language Pathologist | 3595 Ranch Road 620 S Unit 220, Austin, TX 78738 | 2017-10-16 |
1013468586 | Muve - Lakeway Ambulatory Surgical Center, LLC | Clinic/Center | 5329 Serene Hills Drive, Suite 100, Lakeway, TX 78738 | 2016-10-20 |
Find all providers in zip 78738 |
Taxonomy Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841736139 | Kayla Allison Vaught | Prevention Professional | 5901 Southwest Pkwy, Austin, TX 78735-6220 | 2017-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932731205 | Robin Gayle Douglas | Prevention Professional | 8301 Willow Place Dr N Apt 401, Houston, TX 77070-5684 | 2020-02-05 |
1679093587 | Cvw, Inc | Prevention Professional | 1860 Hollow Falls, Frisco, TX 75034 | 2017-06-21 |
1275069908 | Jared Rosen | Prevention Professional | 1 Cowboys Way, Frisco, TX 75034-1963 | 2017-05-01 |
1538693130 | Barbara Selmon | Prevention Professional | 5522 Grand Lake St, Bellaire, TX 77401-4834 | 2017-04-20 |
1245763283 | Daniel E Kropp | Prevention Professional | 3534 Bobtown Rd Apt 107, Garland, TX 75043-2018 | 2017-04-06 |
1487194510 | Lola Eller Hannah | Prevention Professional | 9805 Wild Ginger Dr, Mckinney, TX 75070-2868 | 2017-03-08 |
1750822805 | Mark Stalls | Prevention Professional | 3106 Santa Monica Dr, Denton, TX 76205-8522 | 2017-03-08 |
1265972467 | Christopher Ryan Williams | Prevention Professional | 1522 Beverly St, Odessa, TX 79761-2939 | 2017-03-07 |
1467992784 | Harrison Aj Hall | Prevention Professional | 2006 Airline Rd Apt 516, Corpus Christi, TX 78412 | 2017-03-06 |
1730629536 | The Tfu Group, LLC | Prevention Professional | 1011 Augusta Dr Ste 102, Houston, TX 77057-2035 | 2017-02-28 |
Find all providers with the same taxonomy |
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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.