Active NPI
Ryan Ausbrooks Kroser, FNP
- Family Nurse Practitioner
- Gallatin, TN
National Provider Identifier
1316062409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN12208
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN12208 | Other | TN | FNP LICENSE |
Other names 1
- Miss Ryan Ausbrooks Johnson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12208 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| APN12208 | TN | MD | Family 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.