MARYANN RYAN (NPI# 1336463058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336463058 |
| Entity Type | Individual |
| Full Name | MARYANN RYAN |
| Credential | APRN |
| Practice Address |
65 Main St Suite 100 Warwick NY 10990-1346 |
| Mailing Address |
65 Main Street Suite 100 Warwick NY 10990 |
| Practice Telephone | 8455455444 |
| Practice Fax Number | 8452134794 |
| Mailing Telephone | 8455455444 |
| Mailing Fax Number | 8452134794 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2016-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 607912-1 | NY | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 26NR12128100 | NJ | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F336446 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00304400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00304400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401688 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1336463058 | 01 |
| Street Address |
65 MAIN ST SUITE 100 |
| City | WARWICK |
| State | NY |
| Zip Code | 10990-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458237 | Cindy Gisser | Counselor | 65 Main St, Warwick, NY 10990-1346 | 2019-07-05 |
| 1538501523 | Francis Agbo D/b/a Ampa Coach Ambuette | Non-emergency Medical Transport (VAN) | 65 Main St, Suite 203, Warwick, NY 10990-1346 | 2013-07-19 |
| 1336454370 | Ann M. Studer Dc, PC | Chiropractor | 65 Main St, Warwick, NY 10990-1346 | 2010-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1881163921 | Warwick Reformed Church | Home Delivered Meals | 16 Maple Avenue, Warwick, NY 10990 | 2018-11-19 |
| 1821522400 | Lauren Weller | Behavior Technician | 103 Little York Road, Warwick, NY 10990 | 2017-04-20 |
| 1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
| 1417383282 | Lawrence M Kamhi Md PC | Anesthesiology | 121 Village Green Court, Warwick, NY 10990 | 2013-09-24 |
| 1427491398 | Dynamic Therapy Inc | Early Intervention Provider Agency | 47 Homestead Village Drive, Warwick, NY 10990 | 2013-04-10 |
| 1033498381 | Needelia Davis | Registered Nurse | 15 Blue Spruce Trl, Warwick, NY 10990 | 2011-08-04 |
| 1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
| 1891027900 | Delna M Joseph | Licensed Practical Nurse | 20 Grand Street, Warwick, NY 10990 | 2010-02-01 |
| 1366689200 | Premiere Physical Therapy, PC | Physical Therapist | 56 Onderdonk Rd, Warick, NY 10990 | 2009-01-14 |
| Find all providers in zip 10990 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562566 | Katie Elizabeth Thayer | Nurse Practitioner | 300 Centerville Rd Ste 101, Warwick, RI 02886-0200 | 2020-03-06 |
| 1922356724 | Susan Jane Perry | Nurse Practitioner | 469 Centerville Rd., Suite 103, Warwick, RI 02886-4342 | 2012-08-27 |
| 1063417855 | Janice Elena Archer | Nurse Practitioner | 60 Merrymount Dr, Warwick, RI 02888-5525 | 2005-06-17 |
| 1902442874 | Raissa Mutuyimana | Nurse Practitioner | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2019-11-26 |
| 1629593355 | Mark James Gauthier | Nurse Practitioner | 75 Lambert Lind Hwy, Warwick, RI 02886-1131 | 2017-08-03 |
| 1538522578 | Agape Counsiling Center Janice Archeer Sole Mbr | Nurse Practitioner | 60 Merrymount Dr, Warwick, RI 02888-5525 | 2016-03-29 |
| 1790183069 | Stephanie Rickerman | Nurse Practitioner | 75 Lambert Lind Hwy, Suite 120-100, Warwick, RI 02886-1131 | 2014-12-18 |
| 1609277094 | James Pollard IIi | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2014-09-04 |
| 1043260268 | Cathy Lynn Kennedy | Nurse Practitioner | 2756 Post Rd, Attn: Billing Office, Warwick, RI 02886-3003 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| 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.