Heather L. Ryan, MA, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 1429 Issued in FL

Practice address

1 Indian Ave
Venice, FL 34285-2632

Phone

(941) 488-6726

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316099856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 LEOPOLD AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873745",
            "telephone_number": "941-423-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDIAN AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852632",
            "telephone_number": "941-488-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "HEATHER",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MA, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Alberto Russo
• Oliva Russo, APRN
• Shelly Russo, APRN
• Kimberly Ann Ruzek, MD
• Ryan S. Holbrook, DMD, P.a. (Florida Dental Implant Center)
• Jeffrey Ryan, D.O.
• Patricia Jo Ryan, PH.D.
• S N J Simply Fit
• S-H Thirty-Five Opco - Bella Vita, LLC
• Reinaldo Sabates, LICENSES DISPENSING

• Athletic Trainer in Venice, FL
• Providers in Venice, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.