Individual provider Active NPI

Maureen Theresa Ryan-Bugenstein, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Columbus, OH
National Provider Identifier
1619533817
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN.427587 Issued in OH
Practice address
547 E 11TH Ave
Columbus, OH 43211-2603
Phone
(614) 224-4506
Fax
(614) 291-0118
NPI assigned
May 13, 2019
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 427587 OH
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN.427587 OH Primary

Addresses

Primary practice location

547 E 11TH Ave
Columbus, OH 43211-2603

Mailing address

71 Hillcrest Dr
Westerville, OH 43081-2415
Phone (614) 216-2413

Other practice location 1

1791 Alum Creek Dr
Columbus, OH 43207-1708
Phone (614) 445-8131

Other identifiers 1

IdentifierTypeStateIssuer
0350769MedicaidOH

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

LicenseStateTypeSpecialty
RN.427587OHMDAddiction (Substance Use Disorder) Registered Nurse
427587OHMDSubstance Abuse Rehabilitation Facility

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1619533817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HILLCREST DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812415",
            "telephone_number": "614-216-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-224-4506",
            "fax_number": "614-291-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1791 Alum Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071708",
            "country_code": "US",
            "telephone_number": "614-445-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN-BUGENSTEIN",
        "first_name": "MAUREEN",
        "middle_name": "THERESA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "427587",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.427587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.