Ryan M Missi, APRN-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71002582A Issued in IN

Practice address

207 Sparks Ave
Ste 403
Jeffersonville, IN 47130-3739

Phone

(812) 288-9141

Fax

(812) 288-1023

NPI assigned

Jan 14, 2008

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

Other names 1

• Merideth M. Missi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1912183500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "STE 403",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-288-9141",
            "fax_number": "812-288-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "STE 403",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-288-9141",
            "fax_number": "812-288-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSI",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71002582A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERIDETH",
            "last_name": "MISSI",
            "middle_name": "M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephen Douglas Miller, O.D.
• Elizabeth A Mills, APRN
• Roxie Dimple Miner, LCSW
• Susan Minton, MSSW
• Grace Missi, MA-CCC-SLP
• MLB Jeffersonville Health Facilities, Inc
• Mocca Dialysis LLC
• Gillian Moffitt, RBT
• Brianna Montgomery, RBT
• Miranda Montgomery, RBT

• Pediatric Nurse Practitioner in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.