Micailah Joy Ryan, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11167 Issued in MD

Practice address

180 Green St
Annapolis, MD 21401-2502

Phone

(407) 775-1341

NPI assigned

Aug 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1629800842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SPA RD APT 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214035946",
            "telephone_number": "407-775-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GREEN ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012502",
            "telephone_number": "407-775-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Pasadena Rd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224067",
            "country_code": "US",
            "telephone_number": "410-222-6573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICAILAH",
        "middle_name": "JOY",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "11167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sipe Russo, M.D., M.P.H.
• Ruth K. Weinstein, PHD, PA
• Isabella Renee Ryan
• Jennifer Ryan, M.S. CCC-SLP
• Kylie Ryan, LMSW
• Tamilla Rzayeva
• S.P.E.a.K., LLC
• Philbert Saavedra, MD
• Giorgi Sabakhtarishvili, M.D.
• Jeanne Theresa Sachs, CCC-SLP

• Speech-Language Pathologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.