MRS. BONNIE BASS RYAN (NPI# 1922035179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922035179 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE BASS RYAN |
| Credential | PA-C |
| Practice Address |
2106 North Raguet Street Nacogdoches TX 75962-4437 |
| Mailing Address |
Po Box 512 Etoile TX 75944-0512 |
| Practice Telephone | 9364684008 |
| Practice Fax Number | 9364681316 |
| Mailing Telephone | 9364655436 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA03470 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA 03470 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03470 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE PA LICENSE NUMBER | PA03470 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972953479 | Bonnie Beth Ryan | Massage Therapist | 1035 Harvey Road, Auburn, WA 98002-4221 | 2016-06-15 |
| 1619163086 | Bonnie Louise Ryan | Counselor | 1621 Chapala St Apt B, Santa Barbara, CA 93101-5906 | 2007-09-19 |
| 1760490460 | Bonnie Rae Ryan | Social Worker | 45 John St Rm 602, New York, NY 10038-3744 | 2006-08-04 |
| 1275133027 | Bonnie Ivadell Ryan | Registered Nurse | 801 5th St, Sioux City, IA 51101-1326 | 2020-10-30 |
| 1396207189 | Bonnie Ryan | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2019-04-02 |
| 1063872729 | Bonnie P Ryan | Social Worker | 455 E Mound St, Columbus, OH 43215-5595 | 2016-02-24 |
| 1306049549 | Bonnie Lynn Ryan | Registered Nurse | 6100 Channingway Blvd, Columbus, OH 43232-2910 | 2007-06-06 |
| 1295725810 | Bonnie J. Ryan | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-10-25 |
| Street Address |
2106 NORTH RAGUET STREET |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75962-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073643300 | Linda Stark Bobo | Specialist/Technologist | 1936 N Street, Hpe Complex, Rm 204, Sfasfu, Nacogdoches, TX 75962 | 2007-03-06 |
| 1346895620 | Daniel Anthony Latourelle | Specialist/Technologist | 712 Hayter Street, Nacogdoches, TX 75962-0001 | 2019-08-05 |
| 1730638164 | Marie Collins Custead | Dietitian, Registered | Sfa Athletic Fieldhouse 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-27 |
| 1275081051 | Kira Rubin | Specialist/Technologist | Sfa Athletic Fieldhouse, 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-21 |
| 1790113736 | Jennifer Boynton | Dietitian, Registered | 712 Hayter 13010 Sfa Sta, Nacogdoches, TX 75962-0001 | 2013-10-30 |
| 1114361250 | Stephen F. Austin State University | Clinic/Center | 2106 Raquet St, Nacogdoches, TX 75962-0001 | 2013-04-19 |
| 1336411818 | Alberta Nichols | Specialist/Technologist | 113 Hayter St, Nacogdoches, TX 75962-0001 | 2012-01-31 |
| 1881719821 | Raymond Lynn Eastman | Psychologist | 209 Blount St, Nacogdoches, TX 75962-0001 | 2007-03-20 |
| 1225185531 | John Miller | Family Medicine | 13058-sfa Statiion, Nacogdoches, TX 75962-0001 | 2007-01-05 |
| 1093876005 | Renal Care Group Nacogdoches, LLP | Clinic/Center | 3226 University Dr, 100, Nacogdoches, TX 75962-0001 | 2006-12-13 |
| Find all providers in zip 75962 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245770452 | Priscilla Choukroun | Physician Assistant | 4920 Ne Stallings Dr Ste 310, Nacogdoches, TX 75965-1254 | 2017-03-07 |
| 1154730877 | Sarah Marie Jones | Physician Assistant | 4710a Ne Stallings, Nacogdoches, TX 75965-1615 | 2014-08-06 |
| 1316481492 | Stone Fort Inpatient Services Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2016-12-08 |
| 1578010146 | Brandi Marie Hernandez | Physician Assistant | 3611 North St Ste 140, Nacogdoches, TX 75965-2478 | 2016-09-01 |
| 1588037261 | Astral Emergency Physicians, Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-11-04 |
| 1568834521 | Bastion Emergency Physicians, Pplc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-10-29 |
| 1215337720 | Whitney Revette Hamilton | Physician Assistant | 1106 South St, Nacogdoches, TX 75964 | 2014-09-03 |
| 1659794774 | Texas Em-i Medical Services Pa | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2014-01-24 |
| 1326268525 | Robert Naquin | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 | 2007-04-27 |
| 1396968384 | Peter Leonard Gergen | Physician Assistant | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-04-10 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75962 |
Please comment or provide details below to improve the information on MRS. BONNIE BASS 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.