Individual provider Active NPI

Betty L Ryba, MSN FNP-BC

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1346433430
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R734406 Issued in MS
Practice address
56 98 Place Blvd
Hattiesburg, MS 39402-8603
Phone
(228) 596-9732
Fax
(601) 450-4640
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R734406 MS Primary

Addresses

Primary practice location

56 98 Place Blvd
Hattiesburg, MS 39402-8603

Mailing address

56 98 Place Blvd
Hattiesburg, MS 39402-8603
Phone (228) 596-9732

Other identifiers 1

IdentifierTypeStateIssuer
0121027MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20090730000188 MS Practitioner - Nurse Practitioner 7719030360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

56 98 Place Blvd
Hattiesburg, MS 39402-8603
Phone (601) 264-7286

Hospital & facility affiliations

  • South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R734406MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Wellness of Oak Grove, PLLC Family CurrentSince May 1, 2009 Accepting new patients

Locations

5128 Old Highway 11
Ste 6D
Hattiesburg, MS 39402
Phone (228) 596-9732

56 98 Place Blvd
#B
Hattiesburg, MS 39402

56 98 Place Blvd
Hattiesburg, MS 39402
Phone (228) 596-9732

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABIAA/Endpoint/FABIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FABIAA

Organizations & group practices 1

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1346433430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 98 PLACE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028603",
            "telephone_number": "228-596-9732",
            "fax_number": "601-450-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 98 PLACE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028603",
            "telephone_number": "228-596-9732",
            "fax_number": "601-450-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBA",
        "first_name": "BETTY",
        "middle_name": "L",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R734406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121027",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.