Bridget Ryan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

146923 Issued in MO

Practice address

1625 Gratz Brown St
Moberly, MO 65270-1994

Phone

(573) 603-1460

NPI assigned

Jul 31, 2023

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

Other names 1

• Bridget Long Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1063193159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120",
            "telephone_number": "636-224-1210",
            "fax_number": "636-246-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 GRATZ BROWN ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701994",
            "telephone_number": "573-603-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BRIDGET",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "146923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "LONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roling Chiropractic, LLC.
• Mitchell Roling, D.C.
• Isabella Alexis Ross
• Nicole Roth
• Sheila J Rusher, MHS
• Sam's Prescription Shop, Inc. (Sam's Health Mart Pharmacy # 2 (Long-Term Care))
• Sam's Prescription Shop, Inc. (Sam's Health Mart Pharmacies)
• Sam's Prescription Shop, Inc. (Sam's Health Mart Pharmacy # 1 (Long Term Care))
• Sams Prescription Shop Inc (Sam's Health Mart Pharmacy)
• Sams Prescription Shop Inc (Sam's Health Mart Pharmacy)

• Registered Nurse in Moberly, MO
• Providers in Moberly, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.