Individual provider Active NPI

Carol Ann Van Ryzin, NP

  • Pediatric Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1386913762
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R134751 Issued in MD
Practice address
Nih Clinical Ctr
Building 10, CRC , Room 1-2742
Bethesda, MD 20892-0001
Phone
(301) 451-0399
Fax
(301) 480-3932
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R134751 MD Primary
Pediatric Registered Nurse 163WP0200X R134751 MD

Addresses

Primary practice location

Nih Clinical Ctr
Building 10, CRC , Room 1-2742
Bethesda, MD 20892-0001

Mailing address

Nih Clinical Ctr
Building 10, CRC , Room 1-2742
Bethesda, MD 20892-0001
Phone (301) 451-0399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1386913762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NIH CLINICAL CTR",
            "address_2": "BUILDING 10, CRC , ROOM 1-2742",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-0399",
            "fax_number": "301-480-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIH CLINICAL CTR",
            "address_2": "BUILDING 10, CRC , ROOM 1-2742",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-0399",
            "fax_number": "301-480-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RYZIN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R134751",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MD",
            "license": "R134751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.