MR. KELLY TILMAN RYAN (NPI# 1306290556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306290556 |
| Entity Type | Individual |
| Full Name | MR. KELLY TILMAN RYAN |
| Credential | LMSW |
| Practice Address |
945 19th St Des Moines IA 50314-1117 |
| Mailing Address |
873 Se Williams Ct Waukee IA 50263-8351 |
| Practice Telephone | 5152410982 |
| Mailing Telephone | 5152053731 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 05641 | IA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
05641 | IA | Behavioral Health & Social Service 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 |
945 19TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669596938 | Golden Circle Behavioral Health | Community/Behavioral Health | 945 19th St, Des Moines, IA 50314-1117 | 2007-03-19 |
| 1871125765 | Brandi Munch | Social Worker | 945 19th St, Des Moines, IA 50314-1117 | 2020-02-07 |
| 1477199198 | Sajo Joseph Thomas | Nurse Practitioner | 945 19th St, Des Moines, IA 50314-1117 | 2019-11-18 |
| 1003308115 | Emberly Joe Lashley | Counselor | 945 19th St, Des Moines, IA 50314-1117 | 2018-06-04 |
| 1487004180 | Erin Richmond | Social Worker | 945 19th St, Des Moines, IA 50314-1117 | 2016-06-14 |
| 1952761850 | Monica Vanhorn | Social Worker | 945 19th St, Des Moines, IA 50314-1117 | 2016-03-04 |
| 1740543842 | Shannon Brooke Evers | Social Worker | 945 19th St, Des Moines, IA 50314-1117 | 2012-06-22 |
| 1740478429 | Behavioral Health Resources | Community/Behavioral Health | 945 19th St, Des Moines, IA 50314-1117 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881236107 | Iowa Super Clean LLC | Social Worker | 817 E Miller Ave, Des Moines, IA 50315-2954 | 2019-10-09 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1386204030 | Elizabeth Darlene Gerdes | Social Worker | 1212 E Mckinley Ave, Des Moines, IA 50315-4362 | 2019-06-15 |
| 1194226670 | Amber Lee Wilson | Social Worker | 4685 Merle Hay Rd, Ste 108, Des Moines, IA 50322-1982 | 2018-02-21 |
| 1831608249 | Scott Alan Wright | Social Worker | 1223 Center St Ste 17, Des Moines, IA 50309-1016 | 2017-09-28 |
| 1376060053 | Mikki Hamdorf | Social Worker | 431 28th St Ste 205, Des Moines, IA 50312-4400 | 2017-08-24 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184176489 | Lynley Anne Wolfe | Social Worker | 3519 50th St, Des Moines, IA 50310-2649 | 2016-11-03 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1659760825 | Lisa Marie Heldenbrand | Social Worker | 2600 Grand Ave Ste 130, Des Moines, IA 50312-5300 | 2015-01-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on MR. KELLY TILMAN 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.