Lisa Hallie Ryan, DNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342189 Issued in NY

Practice address

104 Fulton Ave
Poughkeepsie, NY 12603-2808

Phone

(201) 410-8682

Fax

(201) 358-9045

NPI assigned

Aug 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Circle Medical Care of New York PCGroup PAC ID 0749710465, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circle Medical Care of New York PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1780425447
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831615269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032808",
            "telephone_number": "201-410-8682",
            "fax_number": "201-358-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032808",
            "telephone_number": "201-410-8682",
            "fax_number": "201-358-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Hurley Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124012832",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 Route 308",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "12572",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LISA",
        "middle_name": "HALLIE",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ryan Rutter, M.D.
• Bernadette M Ryan, N.P.
• Jaime Ryan
• Kathleen Ryan, M.S. SPED
• Lauren Ryan, LMFT
• Sandra Rymph, LPN
• S. C. Schwartz, D.D.S., PLLC
• Sakinah Saafir, LPN
• Meghan Lucia Sabas
• Meggin Sabatino

• Family Nurse Practitioner in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.