Nicole R Ryerson, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

174N00000X Issued in WA

Practice address

14838 6TH Ave NE
Shoreline, WA 98155-6950

Phone

(360) 580-5999

NPI assigned

Nov 20, 2023

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1487429429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14838 6TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556950",
            "telephone_number": "360-580-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14838 6TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556950",
            "telephone_number": "360-580-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYERSON",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WA",
            "license": "174N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penelope Phuong Minh Ruoff, DMD
• Maria Jeanette Russell, PA-C
• Jonas Rutledge
• Andrea Ryan, MACCC-SLP
• Bruce Harlan Ryan, D.C.
• Matthew Ryskalczyk, DMD, MD
• Chelsie Rose Castro Sablan
• Azar Sadeghalvad, M.D.
• Tara Leigh Sadr, PA-C
• Safeway Inc

• Lactation Consultant (Non-RN) in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Lactation Consultant (Non-RN) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.