Active NPI
Ryan William Huffman, DNP-PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 7667
- Practice address
- 360 Sherman St # 390
Saint Paul, MN 55102-2564 - Phone
- (612) 924-3807
- NPI assigned
- Mar 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60466387 | WA | |
| Registered Nurse | 163W00000X | 2484456 | MN | |
| Registered Nurse | 163W00000X | 201802244RN | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201804484NP-PP | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7667 | MN | Primary |
Addresses
Primary practice location
360 Sherman St # 390
Saint Paul, MN 55102-2564
Mailing address
1283 Lincoln Ave
Saint Paul, MN 55105-2714
Phone (865) 200-6160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500757123 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15027 75TH Ave NE
Kenmore, WA 98028-4649
5047 SW View Point Ter
Portland, OR 97239-3906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2484456 | MN | MD | Registered Nurse |
| 201802244RN | OR | MD | Registered Nurse |
| RN60466387 | WA | MD | Registered Nurse |
| 7667 | MN | MD | Speech-Language Pathologist |
| 201804484NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connectionswa, LLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Connectionswa, LLC | Current | Accepting new patients | |
| Huffman Institute Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Precision Mental Performance LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647
2785 White Bear Ave N
Ste 404
Maplewood, MN 55109
Phone (651) 447-7071
752 Grand Ave
Ste 1
Saint Paul, MN 55105
Phone (651) 447-7071
11410 NE 122nd Way
Ste S250
Kirkland, WA 98034
Phone (425) 650-4005
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Paul, MN
- NPI 1912693821
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kirkland, WA
- NPI 1114607140
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kirkland, WA
- NPI 1558042234
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1316569502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1235632597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 LINCOLN AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052714",
"telephone_number": "865-200-6160",
"fax_number": "503-379-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SHERMAN ST # 390",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022564",
"telephone_number": "612-924-3807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "RYAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DNP-PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-13",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60466387",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2484456",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201802244RN",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201804484NP-PP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "7667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500757123",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.