ELIZABETH LANG RYDER DO
NPI 1104685635
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since March 18, 2024PECOS Enrolled
2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-8242 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Lang Ryder Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH LANG RYDER DO (NPI 1104685635) is an individual student in an organized health care education/training program in Orange Park, Florida, licensed in Florida (UO9880) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104685635
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH LANG RYDERCredential: DO
Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148
Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-8242
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
NPI 1104685635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · UO9880
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 KINGSLEY AVE, Orange Park, FL 32073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Lang Ryder Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Nurse Practitioner (Family)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Physician Assistant (Surgical)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Dermatology
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Ryder's NPI number?

The NPI number for Elizabeth Ryder is 1104685635. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Elizabeth Ryder located?

Elizabeth Ryder practices at 2001 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 639-8242.

What is Elizabeth Ryder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elizabeth Ryder enrolled in Medicare?

Yes. Elizabeth Ryder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Ryder was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.