Active NPI
Angela Ryan, NP
- Nurse Practitioner
- Boston, MA
National Provider Identifier
1174699185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 224023
- Practice address
- Pediatric Neonatology Unit
55 Fruit Street CFND 442
Boston, MA 02114 - Phone
- (617) 724-2165
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 224023 | MA | Primary |
Addresses
Primary practice location
Pediatric Neonatology Unit
55 Fruit Street CFND 442
Boston, MA 02114
Mailing address
Mass General Physicians Organization Inc
PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 724-0287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0341240 | Medicaid | MA | |
| NP9894 | Other | MA | B S |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174699185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MASS GENERAL PHYSICIANS ORGANIZATION INC",
"address_2": "PO BOX 9142",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-724-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PEDIATRIC NEONATOLOGY UNIT",
"address_2": "55 FRUIT STREET CFND 442",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-724-2165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ANGELA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "224023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0341240",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B S",
"identifier": "NP9894",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.