Individual provider Active NPI

Kimberly Ryneski, CRT

  • Certified Respiratory Therapist
  • Wasilla, AK
National Provider Identifier
1518091297
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
Practice address
3674 E Country Field Cir
Suite a
Wasilla, AK 99654-5101
Phone
(907) 376-8200
NPI assigned
Mar 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X Primary

Addresses

Primary practice location

3674 E Country Field Cir
Suite a
Wasilla, AK 99654-5101

Mailing address

1761 W Cottonwood Creek Dr
Wasilla, AK 99654-8715

Other identifiers 1

IdentifierTypeStateIssuer
RT2030MedicaidAK

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518091297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W COTTONWOOD CREEK DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 E COUNTRY FIELD CIR",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996545101",
            "telephone_number": "907-376-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNESKI",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RT2030",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.