Jason Dale Ryburn

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L051729 Issued in AR

Practice address

4300 W 7TH St
Little Rock, AR 72205-5446

Phone

(501) 257-6550

NPI assigned

Sep 18, 2020

Sex

Male

Sole proprietor

No

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1497361182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HIGHWAY 88",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879670",
            "telephone_number": "501-326-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBURN",
        "first_name": "JASON",
        "middle_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L051729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ryan
• Lauren Ryan, PTA
• Sarah Ryan, OTR
• Shawnee Michelle Ryan, CF-SLP
• Ryano Transportation LLC
• Erika Ryder, MHPP
• Donra Rynders
• Scott William Rypkema, M.D.
• Julia Ryscavage, MD
• Jan Ryszkowski, M.D.

• Licensed Practical Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.