Ryan Standage, MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP7623 Issued in AZ

Practice address

3108 Clearwater Dr
Ste a
Prescott, AZ 86305-7170

Phone

(480) 443-8400

NPI assigned

Feb 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1144610684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "SUITE 172",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "480-443-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 CLEARWATER DR",
            "address_2": "STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057170",
            "telephone_number": "480-443-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDAGE",
        "first_name": "RYAN",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP7623",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP7623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Spurgeon
• Diana L Spurlock, MSW, LCSW, LISW
• Lisa Stadum, NP
• Stephen Lee Stahl, O.D.
• Emily Stamper, PHARMACIST
• Alison Eleri Stanford, FNP, RN
• Michael E Stanik, MD
• Jeffrey Stayman, LPC
• Casey Trever Steele, MOTR/L
• Kristin Steele, D.M.D

• Adult Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.