Lastenia Marlis Ryan, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

114440 Issued in CO

Practice address

626 North Nevada Avenue
Colorado Springs, CO 80903

Phone

(719) 596-3344

Fax

(719) 632-6118

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tauni Marlis Ryan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609097864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WALSEN RAOD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80921",
            "telephone_number": "717-481-3638",
            "fax_number": "719-632-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 NORTH NEVADA AVENUE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "719-596-3344",
            "fax_number": "719-632-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LASTENIA",
        "middle_name": "MARLIS",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "114440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAUNI",
            "last_name": "RYAN",
            "middle_name": "MARLIS",
            "credential": "N.,P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edward Joseph Ryan III, ATC
• Elizabeth Boyer Ryan, MSW
• Ella Z Ryan
• Katherine Ryan, APN
• Kelly Margaret Ryan
• Laurie Lynn Ryan
• Michael Ryan
• Thomas Ryan
• Timothy Michael Ryan, DDS
• Autumn Rybarczyk

• Women's Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Women's Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.