Active NPI
Ryan Dennis Taylor, RN
- Registered Nurse
- Ypsilanti, MI
National Provider Identifier
1578143897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704365483
- Practice address
- 753 S Grove St
Ypsilanti, MI 48198-6304 - Phone
- (734) 482-7430
- NPI assigned
- Apr 11, 2021
- Last updated
- Apr 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704365483 | MI | Primary |
Addresses
Primary practice location
753 S Grove St
Ypsilanti, MI 48198-6304
Mailing address
6122 S Ivanhoe Ave
Ypsilanti, MI 48197-9707
Phone (313) 909-7531
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704365483 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry Drug Stores Inc and Subsidiaries | Past | Accepting new patients | |
| Perry Drug Stores Inc and Subsidiaries | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Rite Aid Pharmacy 04363
- Community/Retail Pharmacy
- Ypsilanti, MI
- NPI 1326157850
-
dba Rite Aid Pharmacy 04487
- Community/Retail Pharmacy
- Commerce Township, MI
- NPI 1871602391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618099200000",
"number": "1578143897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6122 S IVANHOE AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979707",
"telephone_number": "313-909-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 S GROVE ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481986304",
"telephone_number": "734-482-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RYAN",
"middle_name": "DENNIS",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-11",
"last_updated": "2021-04-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704365483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.