Individual provider Active NPI

Ryan Johnson, MT-BC

  • Contractor
  • Tallahassee, FL
National Provider Identifier
1083580377
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
13706 Issued in FL
Practice address
1700 N Meridian Rd
Tallahassee, FL 32303-5646
Phone
(229) 400-0722
NPI assigned
Oct 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 13706 FL Primary

Addresses

Primary practice location

1700 N Meridian Rd
Tallahassee, FL 32303-5646

Mailing address

1700 N Meridian Rd
Tallahassee, FL 32303-5646
Phone (229) 400-0722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13706FLMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Music Therapy, LLC Contractor CurrentSince Oct 21, 2025 Accepting new patients
Jessica Pouranfar LLC Contractor CurrentSince Oct 21, 2025 Accepting new patients

Locations

1700 N Meridian Rd
Tallahassee, FL 32303
Phone (229) 400-0722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1083580377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MERIDIAN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035646",
            "telephone_number": "229-400-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MERIDIAN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035646",
            "telephone_number": "229-400-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "13706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.