Active NPI
Michelle Catherine Ryan, N.P.
- Family Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1497055727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 425
- Practice address
- 100 S 5TH St FL 19
Minneapolis, MN 55402-1210 - Phone
- (480) 862-1700
- Fax
- (480) 718-7643
- NPI assigned
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 425 | AK | Primary |
Addresses
Primary practice location
100 S 5TH St FL 19
Minneapolis, MN 55402-1210
Mailing address
9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172
Phone (480) 862-1700
Other practice location 1
US Dept Ofstate
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Phone (202) 663-2453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 425 | AK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1497055727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 E MOUNTAIN VIEW RD STE 220",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585172",
"telephone_number": "480-862-1700",
"fax_number": "480-718-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 5TH ST FL 19",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554021210",
"telephone_number": "480-862-1700",
"fax_number": "480-718-7643"
}
],
"practiceLocations": [
{
"address_1": "US Dept Ofstate",
"address_2": "M/MED/QI, SA-1",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "205220001",
"country_code": "US",
"telephone_number": "202-663-2453",
"fax_number": "202-663-3247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "MICHELLE",
"middle_name": "CATHERINE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.