Debora Lynn Ryder, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN2943222 Issued in FL

Practice address

3531 Little Rd
Trinity, FL 34655-1811

Phone

(727) 375-1548

Fax

(727) 375-1557

NPI assigned

Aug 26, 2008

Last updated

Apr 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

• 1 Stop Medical Shop LLC

  • Adult Health Nurse Practitioner
  • New Port Richey, FL
  • NPI 1457015711
  NPD Authorized official
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Medical Group Breast Surgery, Ear Nose & Throat, General Surgery at Sun N Lake

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1164698809

  Family

  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1912154477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "352-567-0188",
            "fax_number": "813-355-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551811",
            "telephone_number": "727-375-1548",
            "fax_number": "727-375-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "DEBORA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2943222",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN2943222",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2943222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008830200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenette Nicole Rosenlieb, ARNP
• Peter Alfio Rossi, MD
• RR Medhealth Consulting, LLC
• Karina Ruisi
• Teresa Ryan, MS, BCBA
• S and S Pharmacy Inc (Trinity Pharmacy)
• S. Grant Willis, D.C.
• Ahmad Salameh, M.D
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
• Nawras Samaan

• Family Nurse Practitioner in Trinity, FL
• Providers in Trinity, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.