Active NPI
Kerri Ryder, PMHCNS
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Worcester, MA
National Provider Identifier
1013090430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN225383
- Practice address
- 411 Chandler St
Worcester, MA 01602 - Phone
- (508) 799-0688
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | RN225383 | MA | Primary |
Addresses
Primary practice location
411 Chandler St
Worcester, MA 01602
Mailing address
PO Box 6
Pelham, NH 03076-0006
Other practice location 1
77 E Merrimack St
Unit 1
Lowell, MA 01852-1251
Phone (978) 453-6800
Other names 1
- Kerri Murphy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN225383 | MA | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Valley Treatment Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lowell, MA
- NPI 1407984065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1013090430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6",
"city": "PELHAM",
"state": "NH",
"postal_code": "030760006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 CHANDLER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01602",
"telephone_number": "508-799-0688"
}
],
"practiceLocations": [
{
"address_1": "77 E Merrimack St",
"address_2": "Unit 1",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018521251",
"country_code": "US",
"telephone_number": "978-453-6800",
"fax_number": "978-458-1428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYDER",
"first_name": "KERRI",
"name_prefix": "Mrs.",
"credential": "PMHCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "MA",
"license": "RN225383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "MURPHY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.