Nicole E Ryan, BA, CDCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4129 Issued in AK

Practice address

4000 Laurel St
Anchorage, AK 99508-5333

Phone

(907) 729-6300

Fax

(907) 729-6341

NPI assigned

May 14, 2019

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

Other identifiers 1

Other names 1

• Nicole Emily Atkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1225694326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085333",
            "telephone_number": "907-729-6300",
            "fax_number": "907-729-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085333",
            "telephone_number": "907-729-6300",
            "fax_number": "907-729-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "BA, CDCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "4129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "43762",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ATKINS",
            "middle_name": "EMILY",
            "credential": "BA, CDCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holley Ryan, MHS
• Jacqueline Ryan, PA-C
• Kathryn Alexander Ryan, D.O.
• Kelly Brian Ryan, D.C.
• Ryan, LLC (Kids Dental Tree)
• Paige Sthen Ryan, D.D.S.
• Peter Arnold Ryan, DC
• Joel R Rygh, CRNA
• Jonathon D Rygh, CRNA
• Kelly Ann Rygh, CRNA

• Addiction (Substance Use Disorder) Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.