Active NPI
Ryan Addison Lollis, DNP
- Family Nurse Practitioner
- Nixa, MO
National Provider Identifier
1689592537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1689592537
- Practice address
- 402 Yosemite Dr
Nixa, MO 65714-9005 - Phone
- (417) 556-8500
- NPI assigned
- Jul 8, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1689592537 | MO | Primary |
Addresses
Primary practice location
402 Yosemite Dr
Nixa, MO 65714-9005
Mailing address
402 Yosemite Dr
Nixa, MO 65714-9005
Phone (417) 556-8500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1689592537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 YOSEMITE DR",
"city": "NIXA",
"state": "MO",
"postal_code": "657149005",
"telephone_number": "417-556-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 YOSEMITE DR",
"city": "NIXA",
"state": "MO",
"postal_code": "657149005",
"telephone_number": "417-556-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOLLIS",
"first_name": "RYAN",
"middle_name": "ADDISON",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-08",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "1689592537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.