Sidney Ryan

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

125958756 Issued in MI

Practice address

6308 S Warner Ave
Fremont, MI 49412-9279

Phone

(231) 519-3940

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1629886445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 COLLINGWOOD AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495191644",
            "telephone_number": "616-835-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 S WARNER AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129279",
            "telephone_number": "231-519-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SIDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "125958756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Roberge, MD
• Tito Rodriguezmarroquin
• Dominique Rommel, CNP
• Michelle A Ross, MA,LPC
• Kegan Michael Rummel, D.O.
• Kurt Allan Sapp, LMSW, MBA
• Erich Stocks Schafer, D.O.
• Lindsay Ann Schmiedeknecht, MD
• Jennifer Nicole Scott, DC
• Robert William Seidel, OD

• Community Health Worker in Fremont, MI
• Providers in Fremont, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.