Individual provider Active NPI

Ryan Wesley Floyd, ARNP

  • Primary Care Nurse Practitioner
  • Pace, FL
National Provider Identifier
1538676366
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9337428 Issued in FL
Practice address
4225 Woodbine Rd
Pace, FL 32571-8790
Phone
(850) 994-6575
NPI assigned
Jan 2, 2018
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9337428 FL Primary

Addresses

Primary practice location

4225 Woodbine Rd
Pace, FL 32571-8790

Mailing address

4225 Woodbine Rd Ste a
Pace, FL 32571-8791
Phone (850) 450-4596

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.floyd@srmcfl.com

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

LicenseStateTypeSpecialty
9337428FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management LLC CurrentSince Jul 4, 2021 Accepting new patients

Locations

4225 Woodbine Rd
Ste A
Pace, FL 32571
Phone (850) 626-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1538676366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 WOODBINE RD STE A",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718791",
            "telephone_number": "850-450-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718790",
            "telephone_number": "850-994-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "RYAN",
        "middle_name": "WESLEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9337428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.floyd@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4225 Woodbine Rd",
            "city": "Pace",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325718790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.