Kelly Tilman Ryan, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

05641 Issued in IA

Practice address

945 19TH St
Des Moines, IA 50314-1117

Phone

(515) 241-0982

NPI assigned

Apr 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1306290556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 SE WILLIAMS CT",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638351",
            "telephone_number": "515-205-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 19TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141117",
            "telephone_number": "515-241-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KELLY",
        "middle_name": "TILMAN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "05641",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Rutherford, DO
• Jennifer Ryan-Keenan, PH.D.
• Carey Ann Ryan, ARNP CNM
• Debra L Ryan, ARNP
• Justine Ryan, LMSW
• Meghan Elizabeth Ryan, DO
• Morgan Nicole Ryan, PHARMD
• Nicholas Ryan, D.O.
• Graceanne Lea Ryken
• Timothy C Ryken, MD

• Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.