Individual provider Active NPI

Gretchen Ryle

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1972048593
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R224545 Issued in MD
Practice address
1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061-4058
Phone
(410) 766-6625
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R224545 MD Primary

Addresses

Primary practice location

1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061-4058

Mailing address

627 Ravenwood Dr
Glen Burnie, MD 21060-7592
Phone (410) 766-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621000033 MD Practitioner - Nurse Practitioner 5092083816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mandm Behavioral Health SolutionsGroup PAC ID 1355634437, 9 clinicians
Mind and Soul Telewellness LLCGroup PAC ID 8123350576, 3 clinicians

Practice addresses (Care Compare)

1406 Crain Hwy S
Suite 104
Glen Burnie, MD 21061-4086
Phone (410) 766-6624

320 E Towsontown Blvd
Suite 201
Towson, MD 21286-5331
Phone (443) 929-2552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Behavioral Health Solutions Current Accepting new patients
Mind & Soul Telewellness LLC CurrentSince Jun 2, 2023 Accepting new patients
M&M Behavioral Health Solutions CurrentSince Apr 2, 2017 Accepting new patients

Locations

1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061
Phone (410) 766-6624

320 E Towsontown Blvd
Towson, MD 21286
Phone (410) 424-5946

320 E Towsontown Blvd
Ste 201
Towson, MD 21286
Phone (410) 296-2004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1972048593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 RAVENWOOD DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607592",
            "telephone_number": "410-766-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S",
            "address_2": "STE 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614058",
            "telephone_number": "410-766-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYLE",
        "first_name": "GRETCHEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.