Individual provider Active NPI

Lisa Jayne Ryan, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1629165345
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5004100 Issued in NC
Practice address
1 Oak PLZ
Asheville, NC 28801-3008
Phone
(828) 252-2501
Fax
(828) 252-2701
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5004100 NC Primary

Addresses

Primary practice location

1 Oak PLZ
Asheville, NC 28801-3008

Mailing address

1 Oak PLZ
Asheville, NC 28801-3008
Phone (828) 252-2501

Other identifiers 2

IdentifierTypeStateIssuer
6113079MedicaidNC
215475OtherNCRN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090122000676 NC Practitioner - Nurse Practitioner 5496819229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004100NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. CurrentSince Apr 1, 2014 Accepting new patients
Blue Ridge Community Health Services Inc Current Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Extended Care Physicians - Mountain, PA Psychiatric/Mental Health Past Accepting new patients

Locations

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

161 Walker St
Columbus, NC 28722
Phone (828) 894-2222

2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

187 W Main St
Spindale, NC 28160
Phone (828) 288-2881

Organizations & group practices 4

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1629165345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAK PLZ",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013008",
            "telephone_number": "828-252-2501",
            "fax_number": "828-252-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAK PLZ",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013008",
            "telephone_number": "828-252-2501",
            "fax_number": "828-252-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LISA",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5004100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6113079",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN NUMBER",
            "identifier": "215475",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.