Individual provider Active NPI

Ashley Ryan, D.C.

  • Chiropractor
  • Crystal Lake, IL
National Provider Identifier
1609206648
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012458 Issued in IL
Practice address
407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238
Phone
(847) 987-5085
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012458 IL Primary

Addresses

Primary practice location

407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238

Mailing address

407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238
Phone (847) 987-5058

Other practice location 1

6080 Elaine Dr
Rockford, IL 61108-3006
Phone (815) 398-0880

Other names 1

  • Ashley Kramer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180105000934 IL Practitioner - Chiropractic 6800179300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1609206648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CONGRESS PKWY STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146238",
            "telephone_number": "847-987-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E CONGRESS PKWY STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146238",
            "telephone_number": "847-987-5085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Elaine Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611083006",
            "country_code": "US",
            "telephone_number": "815-398-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ASHLEY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "KRAMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.