Active NPI
Lyndsie Carolyn Ryalls, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Norwich, CT
National Provider Identifier
1679903983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5609
- Practice address
- 40 Broadway
Norwich, CT 06360-5702 - Phone
- (860) 887-6536
- Fax
- (860) 887-2784
- NPI assigned
- Nov 22, 2013
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5609 | CT | Primary |
Addresses
Primary practice location
40 Broadway
Norwich, CT 06360-5702
Mailing address
40 Broadway
Norwich, CT 06360-5702
Phone (860) 887-6536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
264 Church St
Guilford, CT 06437-2439
Phone (203) 693-4566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5609 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Creek Wellness Group, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| The Griffin Hospital | Current | Accepting new patients | |
| Reliance Health, Inc | Past | Accepting new patients | |
| Geriatric and Adult Psychiatry, LLC | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
264 Church St
Guilford, CT 06437
Phone 2036934566 ext. 10
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Guilford, CT
- NPI 1598209116
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- Mental Health Counselor
- Hamden, CT
- NPI 1942470018
-
- Case Management Agency
- Norwich, CT
- NPI 1518198597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1679903983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BROADWAY",
"city": "NORWICH",
"state": "CT",
"postal_code": "063605702",
"telephone_number": "860-887-6536",
"fax_number": "860-887-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BROADWAY",
"city": "NORWICH",
"state": "CT",
"postal_code": "063605702",
"telephone_number": "860-887-6536",
"fax_number": "860-887-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYALLS",
"first_name": "LYNDSIE",
"middle_name": "CAROLYN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "5609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.