Individual provider Active NPI

Martha Lyn Ryan, ARNP

  • Family Nurse Practitioner
  • Murray, KY
National Provider Identifier
1013240134
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006171 Issued in KY
Practice address
300 S 8TH St Ste 380W
Murray, KY 42071-2442
Phone
(270) 753-0704
Fax
(270) 752-2852
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006171 KY Primary

Addresses

Primary practice location

300 S 8TH St Ste 380W
Murray, KY 42071-2442

Mailing address

300 S 8TH St
Suite 480 West
Murray, KY 42071-2400
Phone (270) 762-1515

Other practice location 1

136 Wells Hall
Murray, KY 42071-3318
Phone (270) 809-3809

Other identifiers 1

IdentifierTypeStateIssuer
7100099930MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000268 KY Practitioner - Nurse Practitioner 1456491265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation CurrentSince Dec 7, 2009 Accepting new patients
Murray-Calloway County Public Hospital Corporation Family CurrentSince Dec 7, 2009 Accepting new patients
Murray-Calloway County Public Hospital Corporation Family Current Accepting new patients

Locations

300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

136 Wells Hall
Murray, KY 42071
Phone (270) 809-3809

300 S 8th St
#480
Murray, KY 42071

Interoperability endpoints

  • Direct secure messaging: martha.ryan.1@9266.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1013240134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 480 WEST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-762-1515",
            "fax_number": "270-752-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 380W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712442",
            "telephone_number": "270-753-0704",
            "fax_number": "270-752-2852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Wells Hall",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420713318",
            "country_code": "US",
            "telephone_number": "270-809-3809",
            "fax_number": "270-752-2852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MARTHA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100099930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.