JUSTIN RYAN (NPI# 1174148712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174148712 |
| Entity Type | Individual |
| Full Name | JUSTIN RYAN |
| Credential | FNP-C |
| Practice Address |
3175 Smith Rd Lambertville MI 48144-9434 |
| Practice Telephone | 7348565494 |
| Mailing Telephone | 7348565494 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.404739 | OH | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 4704350098 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704350098 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386079192 | Justin Franklin Ryan | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2013-09-11 |
| 1952565376 | Justin Robert Ryan | Counselor | 1555 Humboldt St, Denver, CO 80218-1614 | 2008-07-15 |
| Street Address |
3175 SMITH RD |
| City | LAMBERTVILLE |
| State | MI |
| Zip Code | 48144-9434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209978 | David R Reames | Family Medicine | 3175 Smith Rd, Lambertville, MI 48144-9434 | 2005-07-20 |
| 1649719568 | Jessica B Wenzel | Nurse Practitioner | 3175 Smith Rd, Lambertville, MI 48144-9434 | 2017-02-13 |
| 1891100863 | Marian Deames | Family Medicine | 3175 Smith Rd, Lambertville, MI 48144-9434 | 2014-06-27 |
| 1952438350 | Promedica Corporation of Michigan | Family Medicine | 3175 Smith Rd, Lambertville, MI 48144-9434 | 2007-02-27 |
| 1306823182 | Janet Hiser | Nurse Practitioner | 3175 Smith Rd, Lambertville, MI 48144-9434 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725383 | Andrew Thomas Hohman | Chiropractor | 3309 Quail Hollow Dr., Suite A, Lambertville, MI 48144 | 2018-03-29 |
| 1366687576 | Citadel Health Equipment Corp. | General Practice | 3606 W Sterns Rd, #392, Lambertville, MI 48144 | 2008-12-03 |
| 1164646972 | Thomas Joseph Calloway | Pharmacist | 7385 Secor Rd, Lambertville, MI 48144 | 2007-04-12 |
| 1518004167 | Apple Chiropractic | Chiropractor | 7490 Secor Rd, Lambertville, MI 48144 | 2007-01-31 |
| 1083648836 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3462 W Sterns Rd, Lambertville, MI 48144 | 2006-07-10 |
| 1144291832 | Secor Dental Associates | Dentist | 7924 Secor Rd, Lambertville, MI 48144 | 2006-01-30 |
| 1881255966 | Justin Distelrath | Dentist | 7924 Secor Rd, Lambertville, MI 48144 | 2019-06-27 |
| 1679923015 | Megan Brooks | Optometrist | 7470 Secor Rd, Lambertville, MI 48144 | 2016-06-16 |
| 1295952778 | Dalal Makram Nassif | Pharmacist | 7358 Secor Rd, Lamberville, MI 48144 | 2007-04-19 |
| 1285645358 | Bedford Physical Therapy PC | Occupational Therapist | 7300 Secor Rd, Ste 3, Lambertville, MI 48144 | 2006-08-11 |
| Find all providers in zip 48144 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033600077 | Jodi M Gaglio | Nurse Practitioner | 7581 Secor Rd, Lambertville, MI 48144-9624 | 2018-05-25 |
| 1366870974 | Kelly Nicole Smith | Nurse Practitioner | 7581 Secor Rd, Lambertville, MI 48144-9624 | 2013-10-16 |
| 1467706911 | Erin Marie Hennessey | Nurse Practitioner | 7581 Secor Rd, Lambertville, MI 48144-9624 | 2012-11-06 |
| 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 | ||||
| City | LAMBERTVILLE |
| Zip Code | 48144 |
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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.