Active NPI
Domonique Ryan
- Home Health Agency
- Niagara Falls, NY
National Provider Identifier
1154787505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3 Packard CT Apt C
Niagara Falls, NY 14301-2802 - Phone
- (716) 579-0228
- NPI assigned
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3 Packard CT Apt C
Niagara Falls, NY 14301-2802
Mailing address
3 Packard CT Apt C
Niagara Falls, NY 14301-2802
Phone (716) 579-0228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1154787505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PACKARD CT APT C",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143012802",
"telephone_number": "716-579-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PACKARD CT APT C",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143012802",
"telephone_number": "716-579-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "DOMONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.