Connor Ray Rystedt

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11949 Wedgewood Dr NW
Coon Rapids, MN 55433-6704

Phone

(612) 427-8082

Fax

(651) 222-6025

NPI assigned

Feb 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1033818141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 WEDGEWOOD DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554336704",
            "telephone_number": "612-427-8082",
            "fax_number": "651-222-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 WEDGEWOOD DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554336704",
            "telephone_number": "612-427-8082",
            "fax_number": "651-222-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSTEDT",
        "first_name": "CONNOR",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan W. Nolte, D.C., P.a.
• Amanda Naomi Ryan, CRNA
• Samantha Morley Ryan, M.D.
• Sara Renee Ryan, D.D.S.
• Kjerstin Rydeen, LICSW
• Aj Ryti
• Inga Inna Saburov, MA/ CCC-A
• Michelle Saenz, DPT
• George Owusu Safo, RN
• Raghuwansh P Sah, MBBS

• Case Manager/Care Coordinator in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.