NPIMap

Organization Active NPI

Tiffany B Ryan

  • Speech-Language Pathologist
  • Paragould, AR
National Provider Identifier
1962725168
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2248 Issued in AR
Legal business name
TIFFANY B RYAN
Practice address
107 N Rockingchair Rd
Paragould, AR 72450-2414
Phone
(870) 897-2372
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Mrs. Tiffany Beth Ryan, MCD, CCC-SLP
Title
Owner/ Speech Pathologist
Phone
(870) 897-2372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP#2248 AR Primary

Addresses

Primary practice location

107 N Rockingchair Rd
Paragould, AR 72450-2414

Mailing address

107 N Rockingchair Rd
Paragould, AR 72450-2414
Phone (870) 897-2372

Other identifiers 1

IdentifierTypeStateIssuer
180415742MedicaidAR

Other names 1

  • Tiffany B Ryan Other name

National Provider Directory

National Provider Directory

Locations

107 N Rockingchair Rd
Paragould, AR 72450
Phone (870) 897-2372

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1962725168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N ROCKINGCHAIR RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502414",
            "telephone_number": "870-897-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N ROCKINGCHAIR RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502414",
            "telephone_number": "870-897-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY B RYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER/ SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "870-897-2372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180415742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany B Ryan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.