Active NPI
Ryan Arthur Silverthorn, RN
- Critical Care Medicine Registered Nurse
- Detroit, MI
National Provider Identifier
1790153831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 4704352012
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-3300
- NPI assigned
- Sep 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303001592 | MI | |
| Phlebotomy Technician | 246RP1900X | |||
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704352012 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
2874 Tall Oaks CT
Apt 11
Auburn Hills, MI 48326-4171
Phone (248) 251-6984
Other practice location 1
2874 Tall Oaks Ct
Apt 11
Auburn Hills, MI 48326-4171
Phone (248) 251-6984
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10089389 | Other | MI | PTCB |
| 5303001592 | Other | MI | MI LARA BOARD OF PHARMACY LICENSE |
| 4704352012 | Other | MI | MICHIGAN BOARD OF NURSING |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704352012 | MI | MD | Critical Care Medicine Registered Nurse |
| 5303001592 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1790153831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2874 TALL OAKS CT",
"address_2": "APT 11",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483264171",
"telephone_number": "248-251-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-3300"
}
],
"practiceLocations": [
{
"address_1": "2874 Tall Oaks Ct",
"address_2": "Apt 11",
"address_purpose": "LOCATION",
"city": "Auburn Hills",
"state": "MI",
"postal_code": "483264171",
"country_code": "US",
"telephone_number": "248-251-6984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILVERTHORN",
"first_name": "RYAN",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-06",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303001592",
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MI",
"license": "4704352012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTCB",
"identifier": "10089389",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LARA BOARD OF PHARMACY LICENSE",
"identifier": "5303001592",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN BOARD OF NURSING",
"identifier": "4704352012",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.