Erin Ryan, MSOM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198001399 Issued in IL

Practice address

457 Coventry LN Ste 122
Crystal Lake, IL 60014-7571

Phone

(815) 893-9590

NPI assigned

Jun 25, 2020

Sex

Female

Sole proprietor

Yes

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1689291684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 GOLF COURSE RD APT 1",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148809",
            "telephone_number": "815-403-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 COVENTRY LN STE 122",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147571",
            "telephone_number": "815-893-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ERIN",
        "credential": "MSOM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Baxter Rusin, PHD
• Janet A Rutherford, P.T.
• Ryan Counseling Services Inc.
• Ashley Ryan, D.C.
• Casey C Ryan, MSW, LSW
• Joan M Ryan, MACC, LCPC
• Mary Loraine Ryan
• Melissa Diane Ryan, D.C.
• Sarah Rebecca Ryan
• Michelle Rybak, L.M.T., N.C.M.T.B.

• Acupuncturist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.