Individual provider Active NPI

Elizabeth Ann Ryan, NP

  • Family Nurse Practitioner
  • Friendswood, TX
National Provider Identifier
1225502248
Registry record updated Jan 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139742 Issued in TX
Practice address
1809 Stonecreek Cir
Friendswood, TX 77546-7817
Phone
(281) 948-7268
NPI assigned
Jan 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2019

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 AP139742 TX Primary

Addresses

Primary practice location

1809 Stonecreek Cir
Friendswood, TX 77546-7817

Mailing address

1809 Stonecreek Cir
Friendswood, TX 77546-7817
Phone (281) 948-7268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200221000761 TX Practitioner - Nurse Practitioner 3173950631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139742TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network CurrentSince Oct 23, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince Oct 23, 2019 Accepting new patients

Locations

2401 Termini St
Ste 100D
Dickinson, TX 77539
Phone (713) 803-1830

Interoperability endpoints

  • Direct secure messaging: elizabeth.ryan.1@996.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1225502248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 STONECREEK CIR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775467817",
            "telephone_number": "281-948-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 STONECREEK CIR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775467817",
            "telephone_number": "281-948-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.