Individual provider Active NPI

Tiffany Lynn Ryan, CRNA

  • Certified Registered Nurse Anesthetist
  • Boston, MA
National Provider Identifier
1285047233
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN280202 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3002
Phone
(617) 804-4721
NPI assigned
Jun 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN280202 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3002

Mailing address

92 Putnam Rd
Somerville, MA 02145-1035
Phone (303) 817-3705

Other practice location 1

33 Staniford St Fl 2
Providence, RI 02905-3105
Phone (401) 421-8800

Other names 1

  • Tiffany Lynn Clement Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141002000128 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002036662 Reassigns benefits to 2 organizations
I20171011000202 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002036662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Northeastern Ohio University College of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians
Coastline Anesthesia, LLCGroup PAC ID 1456737261, 14 clinicians

Practice addresses (Care Compare)

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

33 Staniford St
Providence, RI 02905-3105
Phone (401) 421-8800

55 Lambert Lind Hwy
Suite 100
Warwick, RI 02886-1074
Phone (401) 737-4711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
The ENT Center of Rhode Island LLC Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients
University Gastroenterology, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

33 Staniford St
#2
Providence, RI 02905

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

75 Newman Ave
Ste 100
Rumford, RI 02916

55 Lambert Lind Hwy
Ste 100
Warwick, RI 02886
Phone (401) 737-4711

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1285047233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 PUTNAM RD",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451035",
            "telephone_number": "303-817-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-804-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Staniford St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053105",
            "country_code": "US",
            "telephone_number": "401-421-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN280202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CLEMENT",
            "middle_name": "LYNN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.