STACEY RYAN (NPI# 1427583111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427583111 |
| Entity Type | Individual |
| Full Name | STACEY RYAN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
214 King St Ogdensburg NY 13669-1142 |
| Mailing Address |
214 King St. Ogdensburg NY 13669 |
| Practice Telephone | 3153933600 |
| Mailing Telephone | 3152504035 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
715179 | NY | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
129325 | CT | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F402278-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194212431 | Stacey Ryan | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-04-20 |
| 1609371566 | Stacey Marie Ryan | Massage Therapist | 514 S Main St, Canandaigua, NY 14424-2246 | 2018-03-24 |
| Street Address |
214 KING ST |
| City | OGDENSBURG |
| State | NY |
| Zip Code | 13669-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182633 | Ali M Gharagozloo Md PC | Radiology | 214 King St, Ogdensburg, NY 13669-1142 | 2005-08-26 |
| 1760094478 | Leah Thompson | Nurse Practitioner | 214 King St, Ogdensburg, NY 13669-1142 | 2020-08-24 |
| 1932717360 | Katelyn Guarino | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2020-07-22 |
| 1457976128 | Gerald Joseph Hourihan | Physical Therapist | 214 King St, Ogdensburg, NY 13669-1142 | 2020-06-09 |
| 1306478722 | Eileen Joyce Sharrow | Dietetic Technician, Registered | 214 King St, Ogdensburg, NY 13669 | 2020-02-05 |
| 1912542119 | Ryan Beshaw | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2019-11-12 |
| 1134763048 | Kori Larose | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2019-11-04 |
| 1568028306 | Naguib Yassa | Pathology | 214 King St, Ogdensburg, NY 13669-1142 | 2019-05-17 |
| 1386114395 | Miranda Rohe | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2018-12-03 |
| 1497230742 | Alycia Short | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598274581 | Taylor Mclear | Occupational Therapist | 100 Ford St, Ogdensburg, NY 13669 | 2017-09-22 |
| 1457769267 | Nupur Nagrare | Family Medicine | 100 Horwood Pl, Ogdensburg, NY 13669 | 2014-07-24 |
| 1598008039 | Darcie L Ferro | Counselor | 206 Ford St., Ogdensburg, NY 13669 | 2013-04-03 |
| 1326380999 | United Helpers Mosaic | Nursing Care | 732 Ford Street, Ogdensburg, NY 13669 | 2013-03-21 |
| 1831497346 | Nicole Sovie | Licensed Practical Nurse | 828 Franklin St., Ogdensburg, NY 13669 | 2011-03-08 |
| 1023331105 | Alyssa Megan Murphy | Pharmacist | 723 Canton Street, Ogdensbury, NY 13669 | 2010-03-03 |
| 1023266137 | Tonya Lynn Ott | Licensed Practical Nurse | 618 Irvin St, Ogdensburg, NY 13669 | 2008-09-03 |
| 1659551778 | Jeremy M. Warchol | Physical Therapist | 203 State Street, Northern Physical Therapy, Pllc, Ogdensburg, NY 13669 | 2007-11-06 |
| 1760683353 | Katie Elizabeth Lesperance | Social Worker | 109 Ford Street, Ogdensburg, NY 13669 | 2007-05-30 |
| 1013045632 | Dale Lester Hosmer | Dentist | 414 Jay Street, Ogdensburg, NY 13669 | 2007-03-02 |
| Find all providers in zip 13669 | ||||
| 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 |
|---|---|---|---|---|
| 1760094478 | Leah Thompson | Nurse Practitioner | 214 King St, Ogdensburg, NY 13669-1142 | 2020-08-24 |
| 1952897159 | Laura Michelle Irvine | Nurse Practitioner | 1 Chimney Point Dr, Ogdensburg, NY 13669-2291 | 2018-07-11 |
| 1255746236 | Tara Brooke Laffin | Nurse Practitioner | 1 Chimney Point Drive, Ogdensburg, NY 13669 | 2014-06-27 |
| 1649616889 | Tina Goodrow | Nurse Practitioner | 1 Chimney Point Dr, Ogdensburg, NY 13669-2212 | 2013-05-15 |
| 1275897951 | Crystal L Simmons | Nurse Practitioner | 214 King St, Ogdensburg, NY 13669-1142 | 2012-06-27 |
| 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 | ||||
| City | OGDENSBURG |
| Zip Code | 13669 |
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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.