Active NPI
Ryan James Condon, FNP-BC
- Family Nurse Practitioner
- Dilley, TX
National Provider Identifier
1144962192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1074006
- Practice address
- 801 W FM 117
Dilley, TX 78017-3409 - Phone
- (830) 326-3171
- NPI assigned
- Apr 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1074006 | TX | Primary |
Addresses
Primary practice location
801 W FM 117
Dilley, TX 78017-3409
Mailing address
750 Inwood
Poteet, TX 78065-3936
Phone (630) 461-8808
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcondon@myfrh.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220426000020 | TX | Practitioner - Nurse Practitioner | 1456748227 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1074006 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson County Memorial Hospital District | Current | Accepting new patients | |
| Wilson County Memorial Hospital District | Current | Accepting new patients |
Locations
499 10th St
Floresville, TX 78114
Phone (830) 216-7096
13857 US Highway 87 W
Lavernia, TX 78121
Phone (830) 253-2101
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Floresville, TX
- NPI 1871599829
TX
-
- Rural Health Clinic/Center
- Floresville, TX
- NPI 1417498585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144962192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 INWOOD",
"city": "POTEET",
"state": "TX",
"postal_code": "780653936",
"telephone_number": "630-461-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W FM 117",
"city": "DILLEY",
"state": "TX",
"postal_code": "780173409",
"telephone_number": "830-326-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "RYAN",
"middle_name": "JAMES",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-11",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1074006",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rcondon@myfrh.com",
"affiliation": "N",
"endpointDescription": "facility email with encryption",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "facility email with encryption",
"address_1": "801 W Fm 117",
"city": "Dilley",
"state": "TX",
"country_code": "US",
"postal_code": "780173409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dilley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.