Active NPI
Miriam Bloomfield Ryan, CRNP
- Family Nurse Practitioner
- Lancaster, PA
National Provider Identifier
1366424038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP005030B
- Practice address
- 685 Good Dr
Lancaster, PA 17601-2426 - Phone
- (717) 295-3900
- Fax
- (717) 735-8728
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP005030B | PA | Primary |
Addresses
Primary practice location
685 Good Dr
Lancaster, PA 17601-2426
Mailing address
685 Good Dr
PO Box 4125
Lancaster, PA 17601-2426
Phone (717) 295-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00362536 | Other | PA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP005030B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices Healthcare | Past | Accepting new patients |
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.
-
- Community Based Hospice Care Agency
- Lancaster, PA
- NPI 1750389193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1366424038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 GOOD DR",
"address_2": "PO BOX 4125",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012426",
"telephone_number": "717-295-3900",
"fax_number": "717-391-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 GOOD DR",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012426",
"telephone_number": "717-295-3900",
"fax_number": "717-735-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MIRIAM",
"middle_name": "BLOOMFIELD",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP005030B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00362536",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.