Kristin Ryan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9334949 Issued in FL

Practice address

2712 SW Glenmoor Way
Palm City, FL 34990-7914

Phone

(772) 634-6710

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 2024By 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

Other names 1

• Kristin Wallace Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1326879479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 SW GLENMOOR WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349907914",
            "telephone_number": "772-634-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 SW GLENMOOR WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349907914",
            "telephone_number": "772-634-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KRISTIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9334949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WALLACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Joseph Rouleau
• Raymond Paul Rowan, DPM
• Alanna Rubin, LM
• Daniel Aaron Rukeyser, D.C.
• Jasmine Russell
• Makayla Sadecky, RBT
• Sarah Sadow
• Christopher Vincent Salomoni, PT
• Bryant Cornelius Samuels II
• Carol San Antonio, APRN

• Registered Nurse in Palm City, FL
• Providers in Palm City, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.