Ryan Kristopher Martin, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

849526 Issued in NY

Practice address

163 Veterans Dr
White River Junction, VT 05001-7005

Phone

(802) 295-9363

NPI assigned

Dec 13, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Windsor Hospital Corporation

  • Internal Medicine Physician
  • Windsor, VT
  • NPI 1841287984
  NPD (past)

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1841007796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 INGLESTON DR APT 123",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367009",
            "telephone_number": "810-772-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VETERANS DR",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017005",
            "telephone_number": "802-295-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RYAN",
        "middle_name": "KRISTOPHER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "849526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Marshall
• Lynn Levasseur Marshall, MD
• David P Marsico, LICSW
• Christi-Lynn B Martin, DNP, FNP-BC
• Michael Martin, LICSW
• Kaili Masamoto
• Annice M Mason, MD
• Danielle Jean Masterson, APRN
• Matthew Maya
• Abigail Ann Mayo

• Adult Psychiatric/Mental Health Registered Nurse in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.