Teresa Ryan, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0534 Issued in KY

Practice address

100 Maplewood Dr
Georgetown, KY 40324-2630

Phone

(502) 863-1762

Fax

(502) 867-1673

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215075544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLEWOOD DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242630",
            "telephone_number": "502-863-1762",
            "fax_number": "502-867-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLEWOOD DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242630",
            "telephone_number": "502-863-1762",
            "fax_number": "502-867-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "0534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew B Rose, ORT/L, CHT
• Sara Kaye Roseberry, NP
• Cindy Rae Rumford, R.N.
• Phillip D Rusher, DMD
• Eden Ryan, SLP
• S and R Medical Enterprises, LLC
• Danielle Sadler, DMD
• Naba Saeed, MD
• Leah Michele Sander, P.T.
• Dawn Sargent, RBT

• Speech-Language Pathologist in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Speech-Language Pathologist in Kentucky

• 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.

Verify at the official NPI Registry.