KATHLEEN RILEY RYAN DO
NPI 1417537135
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Kathleen Ryan's NPI number?

The NPI number for Kathleen Ryan is 1417537135. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Kathleen Ryan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Ryan was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 08, 2021PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2026, Apr 8, 2021 (2 updates tracked since 2021).

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About Kathleen Riley Ryan Do NPPES

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

KATHLEEN RILEY RYAN DO (NPI 1417537135) is an individual student in an organized health care education/training program in Wilmington, North Carolina and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417537135

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATHLEEN RILEY RYANCredential: DO

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing Address215 Pinnacle CtValencia, PA 16059-2235

Phone(910) 343-7000

Sole ProprietorNo

Enumeration DateApril 8, 2021

Last NPPES UpdateApril 27, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1417537135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

2131 S 17TH ST, Wilmington, NC 28401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Riley Ryan 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.

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