Individual provider Active NPI

Kyra Lynn Ryan, FNP-C

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1730944851
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029310 Issued in PA
Practice address
110 S 17TH St
Harrisburg, PA 17104-1123
Phone
(717) 232-9971
NPI assigned
Feb 19, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029310 PA Primary

Addresses

Primary practice location

110 S 17TH St
Harrisburg, PA 17104-1123

Mailing address

110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 232-9971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20251103000092 PA Practitioner - Nurse Practitioner 3779027230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 S 17TH St
Harrisburg, PA 17104-1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Health Center, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Hamilton Health Center, Inc. Current Accepting new patients
Hamilton Health Center, Inc CurrentSince Aug 17, 2025 Accepting new patients
CRHS@ Hamilton Health Center Past Accepting new patients

Locations

110 S 17th St
Harrisburg, PA 17104
Phone (717) 230-3906

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1730944851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KYRA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.