RYAN SCOTT CARLSON (NPI# 1992227789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992227789 |
Entity Type | Individual |
Full Name | RYAN SCOTT CARLSON |
Credential | NP-C |
Practice Address |
11160 W J Presley Parkway Suite 100 Allendale MI 49401 |
Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
Practice Telephone | 6162523900 |
Practice Fax Number | 6162523920 |
Mailing Telephone | 6162523900 |
Mailing Fax Number | 6162523920 |
Enumeration Date | 2017-07-12 |
Last Update Date | 2018-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704282755 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
893 E Superior St, Wayland, MI 493489178 | 6162523400 | 2697926268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720221963 | Ryan Matthew Carlson | Surgery | 401 Phalen Blvd - Ms 41104a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2009-04-17 |
1255577425 | Ryan Robert Carlson | Occupational Therapist | 1309 Southmoreland Pl, Shenandoah, IA 51601-2247 | 2008-12-18 |
1053534172 | Ryan M. Carlson | Dermatology | 1933 Ohio Drive, Grove City, OH 43123-4835 | 2007-04-10 |
1447256722 | Ryan Lee Carlson | Pharmacy Technician | 118 W 5th St, Starbuck, MN 56381-2426 | 2005-06-22 |
1144857368 | Ryan Arvid Carlson | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-03-26 |
1477035459 | Ryan Carlson | Chiropractor | 103 Sw Winsted Ln Ste 25, Bentonville, AR 72713-6203 | 2018-09-05 |
1992238604 | Ryan Carlson | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2017-04-10 |
Street Address |
11160 W J PRESLEY PARKWAY SUITE 100 |
City | ALLENDALE |
State | MI |
Zip Code | 49401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
1043697923 | Courtney Anne Nestor | Physical Medicine & Rehabilitation | 1 Campus Dr, Allendale, MI 49401 | 2015-04-30 |
1053712745 | Tara Elizabeth White | Speech-Language Pathologist | 11007 Radcliff Dr, Allendale, MI 49401 | 2014-09-12 |
Find all providers in zip 49401 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336276864 | Mary B O'brien | Nurse Practitioner | 10383 42nd Ave, Allendale, MI 49401-8207 | 2007-02-28 |
1952908139 | Eric Thomas Tornga | Nurse Practitioner | 11315 Edgewater Dr, Allendale, MI 49401-9396 | 2020-10-01 |
1649821786 | Rocio Esmeralda Sanchez | Nurse Practitioner | 10383 42nd Ave, Allendale, MI 49401-8207 | 2019-09-20 |
1831751650 | Kaitlin Elizabeth Teichman | Nurse Practitioner | 10383 42nd Ave, Allendale, MI 49401-8207 | 2019-07-01 |
1922453059 | Tina Marie Howard | Nurse Practitioner | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2016-04-26 |
1740264001 | Carol Osborn Finlayson | Nurse Practitioner | 11315 Edgewater Dr, Allendale, MI 49401-9396 | 2005-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
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.