Active NPI
Ryan G Zwan, M.A.
- Health & Wellness Coach
- Homosassa, FL
National Provider Identifier
1972057735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- Q242678848
- Practice address
- 4361 S Alita Ter
Homosassa, FL 34446-1623 - Phone
- (813) 995-5808
- NPI assigned
- Aug 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Social Worker | 104100000X | CG60644590 | WA | |
| Health & Wellness Coach | 171400000X | Q242678848 | Primary |
Addresses
Primary practice location
4361 S Alita Ter
Homosassa, FL 34446-1623
Mailing address
4361 S Alita Ter
Homosassa, FL 34446-1623
Phone (813) 995-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60644590 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Psychiatric Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1629120159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1972057735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4361 S ALITA TER",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344461623",
"telephone_number": "813-995-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4361 S ALITA TER",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344461623",
"telephone_number": "813-995-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWAN",
"first_name": "RYAN",
"middle_name": "G",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-10",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "CG60644590",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "Q242678848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homosassa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.