Kimberley Dawn Ryan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024167213 Issued in VA

Practice address

8569 Sudley Rd Ste B
Manassas, VA 20110-3866

Phone

(703) 257-7749

Fax

(855) 254-4529

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEDCBD

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• Family Insight Inc

  • Behavior Analyst
  • Richmond, VA
  • NPI 1194996280
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Comprehensive Internal Medicine Associates

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1770688004
  NPD (past)
• Manassas Internal Medicine PC

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1609804285
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1306040142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8569 SUDLEY RD STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103866",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8569 SUDLEY RD STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103866",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KIMBERLEY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Michal Rudiak, DDS
• Evelyn Anna Ruelaz, M.D.
• Shariff Ruffin, LCSW
• Angela Ann Russell Floyd
• Stephanie Marie Rutherford, FNP-C
• Jeane Marie Ryder, ATC
• S. Kalim Hussaini, DDS, PLLC
• S. Kalim Hussaini, DDS, PLLC
• S&S Transport LLC
• Poonam Sabnani

• Family Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.