Individual provider Active NPI

Rayme Rivet Ryan, LCSW

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1437429347
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19302 Issued in TX
Practice address
1401 Little Elm TRL Unit 304
Cedar Park, TX 78613-2876
Phone
(210) 410-7158
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19302 TX Primary

Addresses

Primary practice location

1401 Little Elm TRL Unit 304
Cedar Park, TX 78613-2876

Mailing address

1401 Little Elm TRL Unit 304
Cedar Park, TX 78613-2876
Phone (210) 410-7158

Other identifiers 1

IdentifierTypeStateIssuer
301358301MedicaidTX

Other names 1

  • Rayme Ann Rivet Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000228 TX Practitioner - Clinical Social Worker 7618138405 Practice locations: Cedar Park, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1401 Little Elm TRL
Unit 304
Cedar Park, TX 78613-2876
Phone (210) 410-7158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19302TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Elder Care, Inc. Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1437429347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LITTLE ELM TRL UNIT 304",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132876",
            "telephone_number": "210-410-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LITTLE ELM TRL UNIT 304",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132876",
            "telephone_number": "210-410-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "RAYME",
        "middle_name": "RIVET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301358301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYME",
            "last_name": "RIVET",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.