Lily Nan Ryan, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MS Issued in AZ

Practice address

14040 N Cave Creek Rd Ste 205
Phoenix, AZ 85022-6179

Phone

(602) 358-7073

Fax

(888) 927-0409

NPI assigned

Feb 11, 2022

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 10, 2026 through Feb 10, 2028

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1215681895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23380 N 61ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105748",
            "telephone_number": "602-503-0710",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226179",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LILY",
        "middle_name": "NAN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "MS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "101Y00000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Martin Ryan, LPC
• Eileen Ryan, SLP
• Hannah Ryan, OTD
• Joseph Vincent Ryan, OD
• Lettie Lerina-Annette Ryan, FNP-C
• Nettie Ryan, RN
• Peter T Ryan, OD
• Rochelle Ryan, LAC
• Teresa Lynn Ryan, P.A.
• Timothy John Ryan, DO

• Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.