Individual provider Active NPI

Ryan Ausbrooks Kroser, FNP

  • Family Nurse Practitioner
  • Gallatin, TN
National Provider Identifier
1316062409
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN12208 Issued in TN
Practice address
608 Commons Dr
Suite a
Gallatin, TN 37066-6349
Phone
(615) 452-5901
Fax
(615) 451-2006
NPI assigned
Mar 20, 2007
Last updated
Aug 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN12208 TN Primary

Addresses

Primary practice location

608 Commons Dr
Suite a
Gallatin, TN 37066-6349

Mailing address

PO Box 1017
Gallatin, TN 37066-1017
Phone (615) 289-3297

Other identifiers 1

IdentifierTypeStateIssuer
APN12208OtherTNFNP LICENSE

Other names 1

  • Miss Ryan Ausbrooks Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12208TNMDOrthodontics and Dentofacial Orthopedic Dentist
APN12208TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1316062409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661017",
            "telephone_number": "615-289-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 COMMONS DR",
            "address_2": "SUITE A",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666349",
            "telephone_number": "615-452-5901",
            "fax_number": "615-451-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSER",
        "first_name": "RYAN",
        "middle_name": "AUSBROOKS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN12208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "APN12208",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "JOHNSON",
            "middle_name": "AUSBROOKS",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.