Active NPI
Janet A Ryan, PA
- Physician Assistant
- Silverdale, WA
National Provider Identifier
1548278211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60546522
- Practice address
- 9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505 - Phone
- (360) 782-3200
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1080 | WI | |
| Physician Assistant | 363A00000X | 5601003059 | MI | |
| Physician Assistant | 363A00000X | PA60546522 | WA | Primary |
Addresses
Primary practice location
9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Other practice location 1
19245 7th Ave NE
Poulsbo, WA 98370-6551
Phone (360) 782-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363A0000X | Medicaid | WA |
Other names 1
- Janet A Ryan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003059 | MI | MD | Physician Assistant |
| 1080 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1548278211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9398 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838505",
"telephone_number": "360-782-3200"
}
],
"practiceLocations": [
{
"address_1": "19245 7th Ave NE",
"address_purpose": "LOCATION",
"city": "Poulsbo",
"state": "WA",
"postal_code": "983706551",
"country_code": "US",
"telephone_number": "360-782-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "JANET",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1080",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003059",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60546522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363A0000X",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "RYAN",
"middle_name": "A",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.