Individual provider Active NPI

Gerri Lynn Ryan, LM, CPM

  • Midwife
  • Poway, CA
National Provider Identifier
1649394636
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM 162 Issued in CA
Practice address
15644 Pomerado Rd Ste 302
Poway, CA 92064-2455
Phone
(858) 278-2930
NPI assigned
Mar 17, 2007
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM 162 CA Primary

Addresses

Primary practice location

15644 Pomerado Rd Ste 302
Poway, CA 92064-2455

Mailing address

275 S Worthington St SPC 120
Spring Valley, CA 91977-6344
Phone (619) 434-9188

Other practice location 1

3914 Murphy Canyon Rd Ste A138
San Diego, CA 92123-4469
Phone (619) 434-9188

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

State licenses

LicenseStateTypeSpecialty
LM 162CAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
A Family Affair Birth Center Midwife CurrentSince Sep 29, 2019 Accepting new patients
San Diego County Midwives Midwife CurrentSince Sep 29, 2019 Accepting new patients

Locations

15644 Pomerado Rd
Ste 302
Poway, CA 92064
Phone (858) 278-2930

3914 Murphy Canyon Rd
Ste A138
San Diego, CA 92123
Phone (619) 948-8063

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1649394636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S WORTHINGTON ST SPC 120",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919776344",
            "telephone_number": "619-434-9188",
            "fax_number": "858-278-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 302",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642455",
            "telephone_number": "858-278-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3914 Murphy Canyon Rd Ste A138",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234469",
            "country_code": "US",
            "telephone_number": "619-434-9188",
            "fax_number": "858-278-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "GERRI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM 162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.