Ryan Earle, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143707 Issued in TX

Practice address

2114 E Rusk St
Jacksonville, TX 75766-9052

Phone

(903) 284-6105

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ault McInnis PLLCGroup PAC ID 9133396674, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ault McInnis PLLC

  dba Family First of Jacksonville

  • Family Medicine Physician
  • Jacksonville, TX
  • NPI 1942587159
  Medicare reassignment Care Compare group NPD
• Family First Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Jacksonville, TX
  • NPI 1639506876
  Medicare reassignment NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1699319384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 ROBS RD",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663527",
            "telephone_number": "903-721-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 E RUSK ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757669052",
            "telephone_number": "903-284-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "RYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Catney Dubois, MD
• Deborah Dubose
• Roxanne D. Dudley, RN, PMHNP-BC, LPC
• Callie Elizabeth Dunkerson, MS, RD, LD
• Mikayle Anne Durant, APRN
• East Texas Eye Care Associates PLLC (The Optical Shop)
• East Texas Medical Center Healthcare Associates (First Physicians)
• East Texas Medical Center Jacksonville
• East Texas Medical Center Jacksonville (ETMC First Physicians Clinic Jacksonville)
• Ruth S Eckenrod, PTA

• Family Nurse Practitioner in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.

Verify at the official NPI Registry.