Carmen Stayrook Ryals, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2-066004 Issued in AL

Practice address

220 Magnolia Ave
Evergreen, AL 36401-3156

Phone

(251) 578-4545

Fax

(251) 575-9459

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Southwest Alabama Behavioral Health Care Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroeville, AL
  • NPI 1881628162
  NPD (past)
• Southwest Alabama Mental Health

  • Community/Behavioral Health Agency
  • Monroeville, AL
  • NPI 1336337500
  NPD (past)
• Southwest Alabama Mental Health

  • Community/Behavioral Health Agency
  • Evergreen, AL
  • NPI 1558674564
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1376270496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364610964",
            "telephone_number": "251-575-4203",
            "fax_number": "251-575-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAGNOLIA AVE",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364013156",
            "telephone_number": "251-578-4545",
            "fax_number": "251-575-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Hornady Dr",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "AL",
            "postal_code": "364608658",
            "country_code": "US",
            "telephone_number": "251-575-4203",
            "fax_number": "251-575-9459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYALS",
        "first_name": "CARMEN",
        "middle_name": "STAYROOK",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-066004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulmonary Associates of Mobile, PC
• Lisa Marie Ripple, CRNP
• Mark A Roberts, MD
• Rocky Mountain Holdings, LLC (LifeSaver)
• Pamela Lashia Rogers
• Hector L Salemi-Castro, M.D.
• Russell Sheldt, RPH
• Southwest Alabama Mental Health
• Star of Life Systems, Inc.
• State of Alabama

• Licensed Practical Nurse in Evergreen, AL
• Providers in Evergreen, AL by specialty
• Licensed Practical Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.