Active NPI
Kathleen Marie Ryan, RD
- Registered Dietitian
- Cortlandt Manor, NY
National Provider Identifier
1780910463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006759
- Practice address
- 1980 Crompond Rd
Cortlandt Manor, NY 10567-4144 - Phone
- (914) 734-3304
- Fax
- (914) 734-3553
- NPI assigned
- Oct 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 006759 | NY | Primary |
Addresses
Primary practice location
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Mailing address
35 Villa Rd
Pearl River, NY 10965-1440
Phone (914) 806-3922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1780910463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 VILLA RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651440",
"telephone_number": "914-806-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 CROMPOND RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674144",
"telephone_number": "914-734-3304",
"fax_number": "914-734-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.