Active NPI
Ryan Nunnery
- Taxi
- Mechanicville, NY
National Provider Identifier
1033746284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- 158404469
- Practice address
- 154 Knabner Rd
Mechanicville, NY 12118-9707 - Phone
- (518) 879-7911
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Taxi | 344600000X | 158404469 | NY | Primary |
Addresses
Primary practice location
154 Knabner Rd
Mechanicville, NY 12118-9707
Mailing address
154 Knabner Rd
Mechanicville, NY 12118-9707
Phone (518) 879-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158404469 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158404469 | NY | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1033746284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 KNABNER RD",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "121189707",
"telephone_number": "518-879-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 KNABNER RD",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "121189707",
"telephone_number": "518-879-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNERY",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": "158404469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158404469",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.