Ryan Ahmadi, APRN

Individual provider Active NPI Family Nurse Practitioner · Saint Augustine, FL

NPI 1992610141 · NPPES record last updated Aug 14, 2026

Key facts

NPI
1992610141
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
903706 (NV)
Practice address
730 Perimeter Park Cir
Saint Augustine, FL 32084-3974
Phone
(915) 479-9122
NPI assigned
Aug 14, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X 903706 NV Yes

Addresses

Primary practice location

730 Perimeter Park Cir
Saint Augustine, FL 32084-3974

Mailing address

730 Perimeter Park Cir
Saint Augustine, FL 32084-3974
Phone (915) 479-9122

Other providers in Saint Augustine, FL

All providers in Saint Augustine, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.