RYAN KELLEY BRAUN (NPI# 1720568736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720568736 |
| Entity Type | Individual |
| Full Name | RYAN KELLEY BRAUN |
| Practice Address |
4309 3rd Ave San Diego CA 92103-1407 |
| Mailing Address |
3948 1/2 Mississippi St San Diego CA 92104-2733 |
| Practice Telephone | 6198764502 |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TUFT HEALTH FREEDOM PLAN | 775602719 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598017543 | Ryan Braun | Pharmacist | 4235 S 57th Ave Apt 102, Greenacres, FL 33463-4300 | 2012-10-15 |
| 1023270204 | Ryan William Braun | Physical Therapist | 4305 W Empedrado St, Tampa, FL 33629-6603 | 2008-06-27 |
| 1437510294 | Ryan Braun | Pharmacist | 2622 Menards Dr, Evansville, IN 47715-8075 | 2016-03-08 |
| 1558656959 | Ryan L Braun | Counselor | 1515 Carll St, Cincinnati, OH 45225-2012 | 2011-06-14 |
| 1568691731 | Ryan Braun | Student in an Organized Health Care Education/Training Program | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2009-07-09 |
| 1669688552 | Ryan Edgar Braun | Anesthesiology | 11100 Euclid Ave, Bowell 2400, Cleveland, OH 44106-1716 | 2007-05-15 |
| 1588622682 | Ryan Michael Braun | Specialist | 1725 W Harrison St, Suite 456, Chicago, IL 60612-3841 | 2006-05-01 |
| Street Address |
4309 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889289 | New Alternatives, Inc. | Clinic/Center | 4309 3rd Ave, San Diego, CA 92103-1407 | 2007-05-14 |
| 1932716966 | Samantha Eklund | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1710594742 | Ashley Nicole Gatoloai | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1194332122 | Jacob Couture | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1861008138 | Brandy Lizette Munoz | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-21 |
| 1356955355 | Diana Munoz | Marriage & Family Therapist | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-07 |
| 1982218160 | Ruben Dela Cruz Quiocho | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-03 |
| 1780296905 | Gustavo Fonseca | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-08-19 |
| 1538777586 | Alexa Brozick | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| 1972111870 | Brent P Davis | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.