Individual provider Active NPI

Valerie Ann Ryan, MD

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1790738078
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83668 Issued in FL
Practice address
314 SE Hospital Ave
Stuart, FL 34994-2338
Phone
(772) 223-5903
Fax
(772) 223-5914
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME83668 FL Primary

Addresses

Primary practice location

314 SE Hospital Ave
Stuart, FL 34994-2338

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832

Other identifiers 1

IdentifierTypeStateIssuer
269998200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vryan32276@direct.martinhealth.org

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sabal Palm Emergency Physicians Past Accepting new patients
Sailfish ER SVCS Partnership LLC Past Accepting new patients
Hillmoor ER SVCS Partnership Past Accepting new patients
Martin Memorial Physician Corporation Inc Past Accepting new patients
Okeechobee Emergency Physicians Inc Past Accepting new patients
Coastal Care Corporation Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1790738078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SE HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942338",
            "telephone_number": "772-223-5903",
            "fax_number": "772-223-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269998200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vryan32276@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "314 SE Hospital Ave",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.