Ryan H Ealum, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11021947 Issued in FL

Practice address

5151 N 9TH Ave
Pensacola, FL 32504-8721

Phone

(850) 333-3277

NPI assigned

Apr 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Pensacola Hospitalist Physicians, LLC

  • Hospitalist Physician
  • Pensacola, FL
  • NPI 1487254140
  Medicare reassignment NPD
• Pensacola Hospitalist Physicians, LLC

  • Hospitalist Physician
  • Gulf Breeze, FL
  • NPI 1578164497
  NPD
• Augustine Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1215215553
  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1174102560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-333-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-333-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EALUM",
        "first_name": "RYAN",
        "middle_name": "H",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11021947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.ealum@ascension.org",
            "affiliation": "N",
            "endpointDescription": "Email associated with my employer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5151 N 9th Ave",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325048721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dynamic Pain & Wellness PLLC
• E. Lynn Phillips MD PA (Orthopedic Hospitalist of Pensacola)
• Alyssa Eadler
• Tabatha Jolane Eady
• Eaglemed LLC (EagleMed Air Medical)
• Ear Nose & Throat- Head & Neck Surgery of Pensacola PA
• Earl J Crosswright MD PA
• Benjamin C Early III
• Matthew Wade Early, MD
• Marilyn D. Earnhardt, RPH

• Acute Care Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.