Rebecca Sue Ryan, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2598 Issued in NC

Practice address

631 Junction Creek Dr
Wilmington, NC 28412-2296

Phone

(910) 442-3000

NPI assigned

Nov 16, 2012

Sex

Female

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

Credentials

Master of Science

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1053655944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 GRANBY ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094567",
            "telephone_number": "910-264-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JUNCTION CREEK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122296",
            "telephone_number": "910-442-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Ryan, PA-C, NREMT-P
• David Michael Ryan, NP
• Kaeli Ann Ryan, PT, DPT, LAT, ATC
• Karen Zaytoun Ryan, LCSW
• Kathleen Riley Ryan, DO
• Tara Lynne Ryan, LCASA
• S. Terry Withers, Jr., M.D.
• Betty Saavedra Ospina, LMT
• Safe Haven Transport & Client Services, LLC
• Edith Lynne Saffo, NP

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.