Kimberly Ryckeley, DNP, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

20172511 Issued in GA

Practice address

1303 Dantignac St Ste 2100
Augusta, GA 30901-2777

Phone

(706) 396-0604

Fax

(706) 396-0606

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396264255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST STE 2100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012777",
            "telephone_number": "706-396-0604",
            "fax_number": "706-396-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST STE 2100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012777",
            "telephone_number": "706-396-0604",
            "fax_number": "706-396-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCKELEY",
        "first_name": "KIMBERLY",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "20172511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Christine Ryals, M.D.
• Crystal Anne Ryan, DNP, AGACNP-BC
• Kristin Elise Ryan, LMSW
• M. Leigh Ryan, P.A.-C.
• David Rychly, PHARMD
• Jeff Ryckman, M.D.
• Parker Lynn Rytz
• S & H Eye Care, LLC
• S & H Eye Care, LLC
• S.I.P.S., Inc.

• Pediatric Nurse Practitioner in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.