Individual provider Active NPI

Ryan James Condon, FNP-BC

  • Family Nurse Practitioner
  • Dilley, TX
National Provider Identifier
1144962192
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1074006 Issued in TX
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1074006TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Memorial Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Wilson County Memorial Hospital District CurrentSince Jun 1, 2022 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.

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

Verify at the official NPI Registry.