NPIMap

Individual provider Active NPI

Kathy Ryals, R.N.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Payette, ID
National Provider Identifier
1316218563
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
N 32991 Issued in ID
Practice address
515 N 16TH St
Payette, ID 83661-2774
Phone
(208) 642-6416
Fax
(208) 642-2829
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X N 32991 ID
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X N 32991 ID Primary

Addresses

Primary practice location

515 N 16TH St
Payette, ID 83661-2774

Mailing address

515 N 16TH St
Payette, ID 83661-2774
Phone (208) 642-6416

Other identifiers 2

IdentifierTypeStateIssuer
000010018824OtherBLUESHIELD
HW348OtherIDBLUE CROSS OF IDAHO

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
N 32991IDMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Idahodhwbh3 NP Past Accepting new patients
Idaho Department of Health & Welfare Past Accepting new patients
Idahodhwbh3 Caldwell CMH PSR Past Accepting new patients
Idahodhwbh3 Nampa CMH PSR Past Accepting new patients
Idahodhwbh3 Payette CMH PSR Past Accepting new patients
Idahodhwbh3 Midlevel Group Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1316218563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 16TH ST",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612774",
            "telephone_number": "208-642-6416",
            "fax_number": "208-642-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 16TH ST",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612774",
            "telephone_number": "208-642-6416",
            "fax_number": "208-642-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYALS",
        "first_name": "KATHY",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N 32991",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ID",
            "license": "N 32991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "000010018824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "HW348",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payette, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.