Kathryn Leann Ryerson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

555 E 15TH Ave
Eugene, OR 97401-4314

Phone

(541) 345-0805

NPI assigned

Oct 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• New Summit Behavioral Therapy, LLC

  • Behavior Analyst
  • Eugene, OR
  • NPI 1689203515
  NPD

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1992176432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 GREEN ACRES RD # 102-360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081505",
            "telephone_number": "951-675-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E 15TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014314",
            "telephone_number": "541-345-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4724 SW MacAdam Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972399701",
            "country_code": "US",
            "telephone_number": "503-235-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYERSON",
        "first_name": "KATHRYN",
        "middle_name": "LEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Leanne Ryan-Pugh, M.S.W.
• Nichelle Renae Ryan, LPN
• Susan Kay Ryan, LCSW
• Thomas Francis Ryan, M.D.
• Evan Ryerson
• Kirsten Ryerson
• Paul Rynkiewicz
• Emma Noel Ryor
• S. Kelly Crane, LLC
• Sandra Lee Saavedra, MS, PT

• Behavior Analyst in Eugene, OR
• Providers in Eugene, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.