Jillian Gayle Ryan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

133270 Issued in AK

Practice address

3600 Bette Cato Dr
Seward, AK 99664-9730

NPI assigned

Sep 19, 2019

Last updated

Sep 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jillian Gayle Bender Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1780234849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996641007",
            "telephone_number": "907-491-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BETTE CATO DR",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996649730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JILLIAN",
        "middle_name": "GAYLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "133270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "BENDER",
            "middle_name": "GAYLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Rohls
• Nicholas Agostino Romano
• Marlee Ross
• Annie L Rothe, DDS
• Ashli Rux
• Deanna Sadlier
• Amanda Christine Sanchez, M.S.
• Lauren Sanchez
• Daniel Santos
• Mark Sardelis

• Registered Nurse in Seward, AK
• Providers in Seward, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.