Ryse Health, LLC

Key facts

NPI

1497340806

Entity type

Organization (NPI type 2)

Primary specialty

Endocrinology, Diabetes & Metabolism Physician 207RE0101X

Legal business name

RYSE HEALTH, LLC

Practice address

1530 Wilson Blvd
Arlington, VA 22209-2459

Phone

(404) 797-8194

NPI assigned

Mar 8, 2021

Organization subpart

No

Authorized official

Name

Richard Gurley

Title

Ceo

Phone

(571) 999-7973

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2023.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1497340806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 WILSON BLVD STE 410",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013863",
            "telephone_number": "571-999-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092459",
            "telephone_number": "404-797-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYSE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-999-7973"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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