Individual provider Active NPI

Ryan Herold, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1174095590
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220211 Issued in AZ
Practice address
2901 N Central Ave
Phoenix, AZ 85012-2700
Phone
(602) 747-4000
NPI assigned
Dec 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 220211 AZ Primary

Addresses

Primary practice location

2901 N Central Ave
Phoenix, AZ 85012-2700

Mailing address

4326 E Sandia St
Phoenix, AZ 85044-3946

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Sep 30, 2019 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Sep 30, 2019 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Sep 30, 2019 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
East Valley Urgent Care,LLC Past Accepting new patients

Locations (25 of 43)

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

Organizations & group practices 6

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": "1545609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1174095590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 E SANDIA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122700",
            "telephone_number": "602-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-24",
        "last_updated": "2021-03-22",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.