Individual provider Active NPI

Andrea Leigh Ryan, ARNP

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1093043820
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.11337 Issued in KY
Practice address
840 Gallia St
Portsmouth, OH 45662-4232
Phone
(740) 354-0700
Fax
(740) 876-8691
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6276P KY
Nurse Practitioner 363L00000X 11337 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.11337 KY Primary

Addresses

Primary practice location

840 Gallia St
Portsmouth, OH 45662-4232

Mailing address

411 Court St
Portsmouth, OH 45662-3932
Phone (740) 354-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000021 OH Practitioner - Nurse Practitioner 5193853117 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6276PKYMDNurse Practitioner
APRN.CNP.11337KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center, Inc. CurrentSince May 3, 2010 Accepting new patients
Scioto County Counseling Center, Inc CurrentSince Jul 18, 2025 Accepting new patients
Scioto County Counseling Center, Inc. CurrentSince Jul 18, 2025 Accepting new patients
Shawnee Mental Health Center, Inc. CurrentSince May 3, 2010 Accepting new patients

Locations

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

Interoperability endpoints

  • Direct secure messaging: andrea.ryan.p1@direct.thecounselingcenter.nextgenshare.com

Organizations & group practices 4

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1093043820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623932",
            "telephone_number": "740-354-0700",
            "fax_number": "740-876-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624232",
            "telephone_number": "740-354-0700",
            "fax_number": "740-876-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6276P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "11337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "APRN.CNP.11337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.