Individual provider Active NPI

Cynthia Ryan, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1184895559
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9181195 Issued in FL
Practice address
1625 SE 3 Avenue
Suite 300
Ft Lauderdale, FL 33316-2521
Phone
(954) 355-4665
Fax
(954) 355-4881
NPI assigned
Mar 13, 2008
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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 ARNP9181195 FL Primary

Addresses

Primary practice location

1625 SE 3 Avenue
Suite 300
Ft Lauderdale, FL 33316-2521

Mailing address

1608 SE 3Rd Avenue
Third Floor Pbo
Fort Lauderdale, FL 33316-2564
Phone (954) 355-4665

Other identifiers 1

IdentifierTypeStateIssuer
008952100MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090117000032 FL Practitioner - Nurse Practitioner 9830252816 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Katina Health and Wellness, Inc Family CurrentSince Jul 1, 2023 Accepting new patients
Aslam M Khan MD PA CurrentSince Feb 3, 2018 Accepting new patients
Soffer Heart Institute PA CurrentSince Apr 4, 2024 Accepting new patients

Locations

2901 Coral Hills Dr
Ste 330
Coral Springs, FL 33065
Phone (954) 231-8700

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

2131 Hollywood Blvd
Ste 101
Hollywood, FL 33020
Phone 30527355114002

4900 W Oakland Park Blvd
Ste 207
Lauderdale Lakes, FL 33313
Phone (954) 735-7550

2300 W 84th St
Ste 501
Miami Lakes, FL 33016
Phone (305) 273-5511

17170 Royal Palm Blvd
Weston, FL 33326
Phone (954) 349-3376

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1184895559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVENUE",
            "address_2": "THIRD FLOOR PBO",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3 AVENUE",
            "address_2": "SUITE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9181195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008952100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.