TINA RYAN


Address: 12800 Boenker Ln, Bridgeton, MO 63044
Phone: 3145510388

TINA RYAN (NPI# 1922470889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922470889
Entity Type Individual
Full Name TINA RYAN
Credential FNP
Practice Address 12800 Boenker Ln
Bridgeton
MO 63044
Mailing Address 12800 Boenker Ln
Bridgeton
MO 63044-2438
Practice Telephone 3145510388
Mailing Telephone 3145510388
Enumeration Date 2015-10-30
Last Update Date 2018-07-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2015039022 MO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
555 N New Ballas Rd Ste 210, Saint Louis, MO 631416844 3144324999

Other Providers TINA RYAN

NPI Name Taxonomy Address Enumeration
1780030221 Tina Ryan Counselor 171 Eric Dr, Uxbridge, MA 01569-1459 2016-05-13
1942448352 Tina Lynn Ryan Massage Therapist 328 Broadway, Bethpage, NY 11714-3007 2009-01-23

Office Location

Street Address 12800 BOENKER LN
City BRIDGETON
State MO
Zip Code 63044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649220104 Andrea E Ivy Nurse Practitioner 12800 Boenker Ln, Bridgeton, MO 63044-2438 2006-05-12
1568072650 Yam Medical Center LLC Nurse Practitioner 12800 Boenker Ln, Bridgeton, MO 63044-2438 2020-08-04
1457985178 Yam Home Health LLC Home Health 12800 Boenker Ln, Bridgeton, MO 63044-2438 2020-03-03
1932628807 Nutressa Monroe Nurse Practitioner 12800 Boenker Ln, Bridgeton, MO 63044-2438 2017-09-12
1285042184 Omega Long Term Care LLC Assisted Living Facility 12800 Boenker Ln, Bridgeton, MO 63044-2438 2014-07-24
1245652924 Bridgeton Geriatrics LLC Family Medicine 12800 Boenker Ln, Bridgeton, MO 63044-2438 2014-01-14
1730259888 Doctors Group, PC Internal Medicine 12800 Boenker Ln, Bridgeton, MO 63044-2438 2006-11-08
1841303310 Khaled R Hassan Internal Medicine 12800 Boenker Ln, Bridgeton, MO 63044-2438 2006-08-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
Find all providers in zip 63044

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1144789751 Emily Christine Machens Nurse Practitioner 12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 2019-03-14
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1134635022 Alice Q Torregosa Nurse Practitioner 4014 Avery Ln, Bridgeton, MO 63044-2101 2017-12-14
1326462854 Melody D Randle Nurse Practitioner 53 S. Laurel Street 2nd Floor, Bridgeton, NJ 08302 2014-02-04
1568890887 Lee Ann Summers Nurse Practitioner 12255 Depaul Drive Suite 200, Bridgeton, MO 63044 2013-10-23
1316286248 Donna M Hall Nurse Practitioner 12255 De Paul Dr Ste 700, Bridgeton, MO 63044 2013-02-13
1447588611 Rosemarie Stag Nurse Practitioner 53 S Laurel St Fl 2, Bridgeton, NJ 08302-1946 2009-11-30
1043229883 Diane M Burt Nurse Practitioner 265 Irving Ave, Bridgeton, NJ 08302-2121 2006-08-07
1841235256 Sherrie Renee Colaneri-day Nurse Practitioner 700 North Pearl Street, Bridgeton, NJ 08302 2006-06-19
Find all providers in BRIDGETON

Competitor

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City BRIDGETON
Zip Code 63044

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Dataset Information

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.

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