Individual provider Active NPI

Diana Ryan, APRN

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1730959735
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11029539 Issued in FL
Practice address
909 N Dale Mabry Hwy
Tampa, FL 33609-1251
Phone
(813) 978-9700
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11029539 FL Primary

Addresses

Primary practice location

909 N Dale Mabry Hwy
Tampa, FL 33609-1251

Mailing address

909 N Dale Mabry Hwy
Tampa, FL 33609-1251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240205002139 FL Practitioner - Nurse Practitioner 5092158295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

909 N Dale Mabry Hwy
Florida Orthopaedic Institute
Tampa, FL 33609-1251
Phone (813) 978-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029539FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musculoskeletal Institute Chartered CurrentSince Feb 26, 2024 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Sep 24, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Feb 26, 2024 Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Sep 24, 2024 Accepting new patients

Locations

560 S Lakewood Dr
Ste 101
Brandon, FL 33511
Phone (813) 657-8448

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

6117 Gunn Hwy
Tampa, FL 33625
Phone (813) 387-9890

909 N Dale Mabry Hwy
Tampa, FL 33609
Phone (813) 287-9370

909 N Dale Mabry Hwy
Fl Orthopaedic
Tampa, FL 33609

13020 N Telecom Pkwy
Temple Terrace, FL 33637

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

2653 Bruce B Downs Blvd
Ste 201
Wesley Chapel, FL 33544
Phone (813) 910-3368

2653 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 324-1939

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: diana.ryan.1@18802.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1730959735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091251",
            "telephone_number": "813-978-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DIANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.