Individual provider Active NPI

Ryan Yvette Bletcher

  • Adult Health Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1104783778
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-145216 Issued in AL
Practice address
1891 Honeysuckle Rd Ste 2
Dothan, AL 36305-4291
Phone
(334) 386-0860
Fax
(334) 678-7225
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-145216 AL Primary

Addresses

Primary practice location

1891 Honeysuckle Rd Ste 2
Dothan, AL 36305-4291

Mailing address

1891 Honeysuckle Rd Ste 2
Dothan, AL 36305-4291
Phone (334) 386-0860

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2715 7TH St
Tuscaloosa, AL 35401-1805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-145216ALMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1104783778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 HONEYSUCKLE RD STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054291",
            "telephone_number": "334-386-0860",
            "fax_number": "833-973-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 HONEYSUCKLE RD STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054291",
            "telephone_number": "334-386-0860",
            "fax_number": "334-678-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLETCHER",
        "first_name": "RYAN",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-145216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.