Ryan Sheridan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP1057075 Issued in DC

Practice address

1629 K St NW Ste 300
Washington, DC 20006-1631

Phone

(202) 640-5502

Fax

(202) 810-9175

NPI assigned

Jun 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Proactive Psychiatry LC

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1902656929
  NPD Authorized official
• Journey Clinical Psychiatry Ca PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1922862309
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1871225789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-640-5502",
            "fax_number": "202-810-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Connecticut Ave NW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200091148",
            "country_code": "US",
            "telephone_number": "202-640-5502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 L St NW Ste 514",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365603",
            "country_code": "US",
            "telephone_number": "202-505-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "RYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP1057075",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2020003397",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1057075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Starr Sherber, M.D.
• Sheri Nawabi, D.D.S., PLLC (Friendship Smiles)
• Sheridan Rehabilitative and Wellness Centers, Inc.
• Kathya Sheridan
• Maria Sheridan, M.ED., ED.S., NCSP
• Murida Sherif
• Bashirr Sheriff
• Bintu Sheriff
• Blessed Sheriff, MD, MPH
• Faith Zynab Sheriff

• Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.