Michelle Ryan Family Health Nurse Practitioner, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MICHELLE RYAN FAMILY HEALTH NURSE PRACTITIONER, PLLC

Practice address

2554 Route 9
Ballston Spa, NY 12020-6312

Phone

(518) 899-5002

Fax

(518) 899-5840

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Ryan, NPNPI 1144316662

Title

Sole Member

Phone

(518) 441-8128

Specialties & licenses 1

Addresses

Other names 1

• Michelle Ryan Family Health Nurse Practitioner Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle L Ryan, FNP

  • Family Nurse Practitioner
  • Ballston Spa, NY
  • NPI 1144316662
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke Micaela McBride, FNP

  • Family Nurse Practitioner
  • Mayfield, NY
  • NPI 1548720063
  Medicare reassignment Care Compare group NPD
• Katie Vittengl Yeaton, FNP

  • Family Nurse Practitioner
  • Ballston Spa, NY
  • NPI 1205358892
  Medicare reassignment NPD
• Morgan Joseph Vittengl, MD

  • Family Medicine Physician
  • Ballston Spa, NY
  • NPI 1245305291
  NPD
• Justin Thomas Bates, FNP-C

  • Family Nurse Practitioner
  • Clifton Park, NY
  • NPI 1639852676
  NPD (past)
• Diane E Belanger, FNP

  • Nurse Practitioner
  • Ballston Spa, NY
  • NPI 1992723092
  NPD (past)
• Mary Lynn Massonne, MS APRN FNP BC

  • Family Nurse Practitioner
  • Malta, NY
  • NPI 1770686313
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1447954136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 ROUTE 9",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206312",
            "telephone_number": "518-899-5002",
            "fax_number": "518-899-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 ROUTE 9",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206312",
            "telephone_number": "518-899-5002",
            "fax_number": "518-899-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE RYAN FAMILY HEALTH NURSE PRACTITIONER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "518-441-8128",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Ryan Family Health Nurse Practitioner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice D McPhee, RN
• Kelsey Medick, RN
• Meyer, Malin and Associates, PLLC
• Vincent Edwin Meyer Jr., MD
• Jennifer Meyerhoff
• Jana Miller, M.S.
• Elizabeth Mockry, LCSW
• Amy Molloy
• Joseph Montemorano, RPH
• Maria Moore

• Nurse Practitioner in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.