Individual provider Active NPI

Lucy Haberthier-Ryan, MD

  • Pediatrics Physician
  • Rock Springs, WY
National Provider Identifier
1265449060
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12406A Issued in WY
Practice address
1180 College Dr
Rock Springs, WY 82901-5863
Phone
(307) 212-7717
Fax
(307) 212-7513
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J5094 TX
Pediatrics Physician 208000000X 12406A WY Primary

Addresses

Primary practice location

1180 College Dr
Rock Springs, WY 82901-5863

Mailing address

501 S Ragsdale St
Jacksonville, TX 75766-2434
Phone (903) 541-5460

Other practice location 1

203 Nacogdoches St Ste 275
Jacksonville, TX 75766-2444
Phone (903) 541-5460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120619000008 TX Practitioner - Pediatric Medicine 2365606662 Reassigns benefits to 1 organization
I20191211000914 WY Practitioner - Pediatric Medicine 2365606662 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Pediatrics CurrentSince Feb 23, 2015 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Dec 2, 2019 Accepting new patients
Evanston Clinic Corp CurrentSince Mar 11, 2022 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Dec 2, 2019 Accepting new patients
Evanston Hospital Corporation Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC Pediatrics Past Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

208 Oak Dr S
Ste 400
Lake Jackson, TX 77566
Phone (979) 285-2900

196 Arrowhead Dr
Ste 1
Evanston, WY 82930
Phone (307) 783-8123

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: lhaberth@yourcarecommunity.org
  • Direct secure messaging: lucy.haberthier-ryan.1@1583.direct.athenahealth.com

Organizations & group practices 7

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1265449060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S RAGSDALE ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662434",
            "telephone_number": "903-541-5460",
            "fax_number": "903-541-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015863",
            "telephone_number": "307-212-7717",
            "fax_number": "307-212-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Nacogdoches St Ste 275",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757662444",
            "country_code": "US",
            "telephone_number": "903-541-5460",
            "fax_number": "903-541-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABERTHIER-RYAN",
        "first_name": "LUCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5094",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "12406A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.