KRISTIN RYAN APN NPI 1972042521

NPI Information

NPI: 1972042521
Provider Name: KRISTIN RYAN, APN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: PORT HURON PHYSICIANS MEDICAL GROUP PC

PECOS Registration: Yes

Address:
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 618-1000
Get Directions

Kristin Ryan, APN is a gerontology nurse practitioner in Arlington Heights, IL with 8 years of experience. Kristin Ryan, APN NPI is 1972042521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 W CENTRAL RD
ARLINGTON HEIGHTS, IL
ZIP 60005-349
Phone: (847) 618-1000

The NPI 1972042521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 2/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	209015143	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209015143	OTHER	ILLINOIS	APN LICENSE NUMBER
2	041402284	OTHER	ILLINOIS	RN LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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