Sandra Jo Ryder, C.P.N.P.- P.C.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP011689 Issued in PA

Practice address

717 E High St
Pottstown, PA 19464-5770

Phone

(484) 942-9754

NPI assigned

Apr 26, 2012

Sex

Female

Sole proprietor

Yes

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

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1316205479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645770",
            "telephone_number": "484-942-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645770",
            "telephone_number": "484-942-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "SANDRA",
        "middle_name": "JO",
        "credential": "C.P.N.P.- P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP011689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lee Russell
• Sarah Rutherford, PT, DPT
• Kaitlin Ryan
• Michael Ryan
• Robert Ryan
• Maiah Elizabeth Sabol
• Saleema Sabree
• Nicole D Sacks
• Alex Masune Saeta, DO
• Iman Salam

• Pediatric Nurse Practitioner in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.