Kimberly Ryan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252430 Issued in KY

Practice address

2020 Bypass Rd
Brandenburg, KY 40108

Phone

(270) 422-3971

NPI assigned

Jul 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• North Carolina Kidney Care, PC

  • Nephrology Physician
  • Denver, CO
  • NPI 1164028940
  NPD
• Strive Health Southeast, LLC

  • Nephrology Physician
  • Denver, CO
  • NPI 1811506975
  NPD

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1760890958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "40108",
            "telephone_number": "270-422-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "40108",
            "telephone_number": "270-422-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 Eagle Creek Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544692",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "fax_number": "844-465-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 N Eagle Creek Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092125",
            "country_code": "US",
            "telephone_number": "888-349-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7026",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008671A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Lynn Pierce, ARNP
• Adam Robinson, PHARM.D.
• Megan Joy Robinson, PT
• Candy Renea Rogers
• Elizabeth Hite Rogers
• Holly Schultz Pollock, APRN
• Felicia L Schultz
• Alicia R Simmons, APRN
• Robert Eugene Smith, M.D.
• Amanda Soudom, APRN

• Clinical Social Worker in Brandenburg, KY
• Providers in Brandenburg, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.