Individual provider Active NPI

Sumalee Zaborek Ryan

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1336625441
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9484619 Issued in FL
Practice address
633 E Baldwin Rd
Panama City, FL 32405-4207
Phone
(850) 522-5490
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN228617 GA
Acute Care Nurse Practitioner 363LA2100X APRN9484619 FL
Nurse Practitioner 363L00000X ARNP9484619 FL Primary

Addresses

Primary practice location

633 E Baldwin Rd
Panama City, FL 32405-4207

Mailing address

2202 State Ave Ste 111
Panama City, FL 32405-4539

Other practice location 1

2110 W 23rd St Ste A
Panama City, FL 32405-2370
Phone (850) 226-6801

Other practice location 2

2202 State Ave Ste 111
Panama City, FL 32405-4539
Phone (850) 780-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003003149 FL Practitioner - Nurse Practitioner 4688926587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Multispeciality Services, LLCGroup PAC ID 2466555339, 19 clinicians

Practice addresses (Care Compare)

2202 State Ave
Suite 111
Panama City, FL 32405-4539
Phone (850) 780-2141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9484619FLMDNurse Practitioner
RN228617GAMDNurse Practitioner
APRN9484619FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Multispeciality Services, LLC CurrentSince Oct 21, 2024 Accepting new patients
Institute of Endocrinology Diabetes Health and Hormones CurrentSince Oct 7, 2021 Accepting new patients

Locations

2202 State Ave
Ste 111
Panama City, FL 32405
Phone (850) 763-5409

633 E Baldwin Rd
Panama City, FL 32405
Phone (850) 522-5490

2202 State Ave
Ste 303
Panama City, FL 32405
Phone (850) 784-1856

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1336625441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 111",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054207",
            "telephone_number": "850-522-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 W 23rd St Ste A",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324052370",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 State Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054539",
            "country_code": "US",
            "telephone_number": "850-780-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SUMALEE",
        "middle_name": "ZABOREK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN228617",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9484619",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9484619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.