Ryon Medical & Associates, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115077 Issued in CO

Legal business name

RYON MEDICAL & ASSOCIATES, LLC

Practice address

318 Lacey Ave
La Junta, CO 81050-2039

Phone

(719) 384-0303

Fax

(719) 384-1033

NPI assigned

Jun 5, 2012

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Harsh, DNPNPI 1639450356

Title

Ceo/Cmo

Phone

(719) 384-0303

Specialties & licenses 7

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Colorado Plains Home Health LLC

  • Home Health Agency
  • Lamar, CO
  • NPI 1396152641

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Colorado Plains Home Health LLC

  • Home Health Agency
  • Lamar, CO
  • NPI 1396152641
  NPPES parent name

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Ray Harsh, FNP-BC

  • Family Nurse Practitioner
  • La Junta, CO
  • NPI 1639450356
  Medicare reassignment Care Compare group Authorized official
• Meryl Dohrmann, PH.D

  • Psychologist
  • La Junta, CO
  • NPI 1033397351
  Medicare reassignment Care Compare group NPD
• Pauletta Hickman

  • Mental Health Counselor
  • Lamar, CO
  • NPI 1952884843
  Medicare reassignment Care Compare group
• Oswaldo A Grenardo, MD, MBA, MS

  • Family Medicine Physician
  • Greenwood Village, CO
  • NPI 1609924836
  Medicare reassignment NPD
• Timothy Wayne Wheeler, LPC

  • Professional Counselor
  • Gypsum, CO
  • NPI 1093452732

  Mental Health

  Medicare reassignment NPD
• Sandra Summers, NP

  • Family Nurse Practitioner
  • Aberdeen, SD
  • NPI 1528498045

  CO

  Medicare reassignment NPD
• Carolyn Binder

  • Addiction (Substance Use Disorder) Counselor
  • Lamar, CO
  • NPI 1548702103
  NPD
• Ginger Anne Walker

  • Professional Counselor
  • Springfield, CO
  • NPI 1467256826
  NPD

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1861753931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810500497",
            "telephone_number": "719-384-0303",
            "fax_number": "719-384-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 LACEY AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502039",
            "telephone_number": "719-384-0303",
            "fax_number": "719-384-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYON MEDICAL & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "HARSH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "719-384-0303",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "991295",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "115077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29854075",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.pruitt@ryonmedical.com",
            "affiliation": "N",
            "address_1": "318 Lacey Ave",
            "city": "LA Junta",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810502039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Lyn Rosengrants-Smith, M.A.
• Ashley Ross, B.S.
• Robin Charles Runk, A.A.
• Anne M Russell, B.A.
• Ryan T Anderson DDC PC
• Safe Space Child and Family Therapy LLC
• Steven Sanchez
• Sangre de Cristo Community Care (Country Plains Home Health)
• Sangre de Cristo Community Care Hospice East (Sangre de Cristo Community Care)
• Charissa Saunders, LMT

• Family Nurse Practitioner in La Junta, CO
• Providers in La Junta, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.