JENNIFER RYAN (NPI# 1679023279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679023279 |
| Entity Type | Individual |
| Full Name | JENNIFER RYAN |
| Credential | APNP |
| Practice Address |
1617 Sherman Ave Madison WI 53704-5930 |
| Mailing Address |
Po Box 14017 Madison WI 53708-0017 |
| Practice Telephone | 6082400020 |
| Practice Fax Number | 6082453077 |
| Mailing Telephone | 6082400020 |
| Mailing Fax Number | 6082453077 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
7217-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
7217-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
7217-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1518528694 | Jennifer Ann Ryan | Nurse's Aide | 4380 Sw Macadam Ave Ste 530, Portland, OR 97239-6408 | 2019-06-27 |
| 1780240770 | Jennifer Ryan | Registered Nurse | 302 Heimer Rd, San Antonio, TX 78232-4887 | 2019-05-15 |
| 1093222499 | Jennifer Leigh Ryan | Speech-Language Pathologist | 44 Elm St Ste 10, Huntington, NY 11743-3403 | 2018-01-08 |
| 1801165030 | Jennifer Ryan | Speech-Language Pathologist | 219 Belvidere St, Saint Johnsbury, VT 05819-2354 | 2011-12-16 |
| 1225312564 | Jennifer Ryan | Licensed Practical Nurse | 80 N Fulton St, Auburn, NY 13021-2018 | 2011-10-05 |
| 1457584930 | Jennifer J Ryan | Occupational Therapy Assistant | 2400 Hexall Ct, Virginia Beach, VA 23454-6511 | 2009-08-31 |
| 1083862197 | Jennifer Lynn Ryan | Counselor | 30 Controls Drive, Suite 10, Shelton, CT 06484-5434 | 2008-09-03 |
| 1508027087 | Jennifer Ann Ryan | Speech-Language Pathologist | 2713 Tomahawk Dr, Waterford, MI 48328-3186 | 2008-06-18 |
| 1649482688 | Jennifer J Ryan | Physical Therapist | 919 E Valley Ln, Arlington Heights, IL 60004-3327 | 2007-05-03 |
| Street Address |
1617 SHERMAN AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53704-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871515122 | Lisa Ann Olson | Registered Nurse | 1617 Sherman Ave, Madison, WI 53704-5930 | 2006-07-24 |
| 1225680465 | Laura L Weaver | Nurse Practitioner | 1617 Sherman Ave, Madison, WI 53704-5930 | 2019-07-09 |
| 1336606359 | Jamie Christine Hanrahan | Nurse Practitioner | 1617 Sherman Ave, Madison, WI 53704-5930 | 2019-02-26 |
| 1306342464 | Lani Holmes | Pharmacist | 1617 Sherman Ave, Madison, WI 53704-5930 | 2018-04-05 |
| 1972009017 | Jean Kveberg | Pharmacist | 1617 Sherman Ave, Madison, WI 53704-5930 | 2018-04-05 |
| 1861943102 | Nicole Mendolla | Nurse Practitioner | 1617 Sherman Ave, Madison, WI 53704-5930 | 2016-10-21 |
| 1750763470 | Michele Mae Wiese | Registered Nurse | 1617 Sherman Ave, Madison, WI 53704-5930 | 2015-06-19 |
| 1356661490 | Sarah Ann Mathews Cronin | Nurse Practitioner | 1617 Sherman Ave, Madison, WI 53704-5930 | 2010-06-10 |
| 1437488517 | Jane Applegate | Physician Assistant | 1617 Sherman Ave, Madison, WI 53704-5930 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
| 1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
| 1013543388 | Mallory Elizabeth Boggs | Nurse Practitioner | 159 Fountains Blvd Ste B, Madison, MS 39110-6344 | 2020-03-19 |
| 1639668031 | Katherine Wargo | Nurse Practitioner | 66 Acorn Rd, Madison, CT 06443-3340 | 2018-05-02 |
| 1053665232 | Larona Rachelle Searcy | Nurse Practitioner | 161 Woodland Dr, Madison, MS 39110-8751 | 2012-11-09 |
| 1518592286 | Kerri C Abernathy | Nurse Practitioner | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-03-03 |
| 1871145367 | Jillian Marie Bodden Hoenisch | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2019-07-15 |
| 1053899351 | Wargo & Associates, LLC | Nurse Practitioner | 66 Acorn Rd, Madison, CT 06443-3340 | 2018-07-30 |
| 1245757475 | Joshua Scott | Nurse Practitioner | 1801 Clifty Dr, Madison, IN 47250-1627 | 2017-08-28 |
| 1750830105 | Paula Brady | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2016-09-27 |
| Find all providers in MADISON | ||||
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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.