Ryan Moreau

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

2255A2300X

Practice address

207 Physical Education Building
Eastern Washington University Athletics
Cheney, WA 99004-2476

Phone

(906) 281-4757

NPI assigned

Oct 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1649720418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W BETZ RD",
            "address_2": "APARTMENT 30212",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990048400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PHYSICAL EDUCATION BUILDING",
            "address_2": "EASTERN WASHINGTON UNIVERSITY ATHLETICS",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990042476",
            "telephone_number": "906-281-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": "2255A2300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST/TECHNOLOGIST - ATHLETIC TRAINER",
            "identifier": "2255A2300X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Massage Pro PLLC
• Ann-Marie Monson, D.M.D.
• April Montney-Codr, M.A., CCC-SLP
• Marion Moore, PH,D., BCBA-D
• Isaiah Morales
• Husai Javier Moreno
• Caitlynn Elise Morris
• Amanda Murphy
• Kevin Riley Murphy, LICSW MSW MHP CCTP
• Natalia L Navarro

• Other Specialist/Technologist in Cheney, WA
• Providers in Cheney, WA by specialty
• Other Specialist/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.