Individual provider Active NPI

Ryan McGlenn, RN

  • Registered Nurse
  • Prior Lake, MN
National Provider Identifier
1174445233
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
232501-3 Issued in MN
Practice address
15264 Wood Duck TRL NW
Prior Lake, MN 55372-4511
Phone
(651) 387-9088
NPI assigned
Jul 29, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 232501-3 MN Primary

Addresses

Primary practice location

15264 Wood Duck TRL NW
Prior Lake, MN 55372-4511

Mailing address

15264 Wood Duck TRL NW
Prior Lake, MN 55372-4511
Phone (651) 387-9088

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": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1174445233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15264 WOOD DUCK TRL NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724511",
            "telephone_number": "651-387-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15264 WOOD DUCK TRL NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724511",
            "telephone_number": "651-387-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLENN",
        "first_name": "RYAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "232501-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.