Individual provider Active NPI

Kylea Ryther

  • Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1356762231
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F1213106 Issued in IA
Practice address
5950 University Ave Ste 231
Suite 321
West Des Moines, IA 50266
Phone
(515) 875-9090
Fax
(515) 875-9312
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F1213106 IA Primary

Addresses

Primary practice location

5950 University Ave Ste 231
Suite 321
West Des Moines, IA 50266

Mailing address

6715 Deerview Dr
Urbandale, IA 50322-6927
Phone (785) 341-7818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20141215002417 IA Practitioner - Nurse Practitioner 0345563748 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1213106IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ducharme Dermatology, P.C. CurrentSince Oct 24, 2024 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

16349 Sheridan Ave
Ste 101
Clive, IA 50325
Phone (515) 650-2914

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.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1356762231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 DEERVIEW DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503226927",
            "telephone_number": "785-341-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 231",
            "address_2": "SUITE 321",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-875-9090",
            "fax_number": "515-875-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYTHER",
        "first_name": "KYLEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "F1213106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.