Active NPI
Elyse Nicole Ryan, MS
- Genetic Counselor (M.S.)
- Philadelphia, PA
National Provider Identifier
1679065643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- Genetic Diagnostic Laboratory
3620 Hamilton Walk, Anatomy & Chemistry BLDG, RM 415
Philadelphia, PA 19104 - Phone
- (215) 573-9161
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
Genetic Diagnostic Laboratory
3620 Hamilton Walk, Anatomy & Chemistry BLDG, RM 415
Philadelphia, PA 19104
Mailing address
Genetic Diagnostic Laboratory
3620 Hamilton Walk, Anatomy & Chemistry Building, Rm415
Philadelphia, PA 19104
Phone (215) 573-9161
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1679065643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GENETIC DIAGNOSTIC LABORATORY",
"address_2": "3620 HAMILTON WALK, ANATOMY & CHEMISTRY BUILDING, RM415",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-573-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GENETIC DIAGNOSTIC LABORATORY",
"address_2": "3620 HAMILTON WALK, ANATOMY & CHEMISTRY BLDG, RM 415",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-573-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ELYSE",
"middle_name": "NICOLE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.