Active NPI
Teresa Joyce Ryan, RN
- Registered Nurse
- Hamlin, WV
National Provider Identifier
1609053131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 48934
- Practice address
- 10 Marland Avenue
Hamlin, WV 25523 - Phone
- (304) 824-3033
- Fax
- (304) 824-7947
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 48934 | WV | Primary |
Addresses
Primary practice location
10 Marland Avenue
Hamlin, WV 25523
Mailing address
88 Windy RDG
Alkol, WV 25501-9598
Phone (304) 524-5084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9704046000 | Medicaid | WV |
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 |
|---|---|---|---|
| 48934 | WV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1609053131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 WINDY RDG",
"city": "ALKOL",
"state": "WV",
"postal_code": "255019598",
"telephone_number": "304-524-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MARLAND AVENUE",
"city": "HAMLIN",
"state": "WV",
"postal_code": "25523",
"telephone_number": "304-824-3033",
"fax_number": "304-824-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "TERESA",
"middle_name": "JOYCE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "48934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9704046000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamlin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.