Kirsten Ryerson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

132 E Broadway Ste 303
Eugene, OR 97401-3154

Phone

(541) 525-4460

NPI assigned

Jan 24, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Well Aware Integrative Care LLC

  • Psychiatry Physician
  • Eugene, OR
  • NPI 1801587209
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1073375101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "PONCHA SPRINGS",
            "state": "CO",
            "postal_code": "812421001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 303",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013154",
            "telephone_number": "541-525-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Poncha Ave",
            "address_purpose": "LOCATION",
            "city": "Poncha Springs",
            "state": "CO",
            "postal_code": "812425095",
            "country_code": "US",
            "telephone_number": "970-485-9173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYERSON",
        "first_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichelle Renae Ryan, LPN
• Susan Kay Ryan, LCSW
• Thomas Francis Ryan, M.D.
• Evan Ryerson
• Kathryn Leann Ryerson
• Paul Rynkiewicz
• Emma Noel Ryor
• S. Kelly Crane, LLC
• Sandra Lee Saavedra, MS, PT
• Judith Regine Sabah, MD

• Student in an Organized Health Care Education/Training Program in Eugene, OR
• Providers in Eugene, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.