Judith W. Ryan, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R051691 Issued in MD

Practice address

10989 Red Run Blvd
Suite 208
Owings Mills, MD 21117-3283

Phone

(410) 654-8602

Fax

(410) 654-8709

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043220593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WOODSIDE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212274038",
            "telephone_number": "410-654-8602",
            "fax_number": "410-654-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10989 RED RUN BLVD",
            "address_2": "SUITE 208",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173283",
            "telephone_number": "410-654-8602",
            "fax_number": "410-654-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JUDITH",
        "middle_name": "W.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R051691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliya T Rusabrova, LCPC
• Davonna L Russell
• Hannah Ruzow
• Megan Ryan-Riffle, CRNP
• Emily Ryan
• S.Arnelle Group, LLC
• S.O.a.R. Clinical Services
• Saba & Associates, M.D., P.a.
• Saba & Associates, M.D., P.a.
• Joanna Mink Saba, MD

• Adult Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.