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RYAN FULLENWILEY-JONES
NPI 1558909549
Registered Nurse - Psychiatric/Mental Health, Adult in North Las Vegas, NV

Active since December 20, 2019PECOS Enrolled
2535 W CHEYENNE AVE STE 102, NORTH LAS VEGAS, NV 89032(702) 405-8088 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2023, Dec 20, 2019 (2 updates tracked since 2019).

About Ryan Fullenwiley-jones NPPES

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

RYAN FULLENWILEY-JONES (NPI 1558909549) is an individual psychiatric/mental health, adult provider in North Las Vegas, Nevada, licensed in California (95104375) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558909549
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameRYAN FULLENWILEY-JONES
Location Address2535 W CHEYENNE AVE STE 102North Las Vegas, NV 89032-8930
Mailing Address2535 W Cheyenne Ave Ste 102North Las Vegas, NV 89032-8930 · (702) 405-8088
Phone(702) 405-8088
Sole ProprietorYes
Enumeration DateDecember 20, 2019
Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1558909549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in CA · 95104375
2535 W CHEYENNE AVE STE 102, North Las Vegas, NV 89032
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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)

Ryan Fullenwiley-jones 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 5

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

PRICELLA MEQUES BROWN
Behavior Analyst
2535 W CHEYENNE AVE STE 102
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-9275
NATASHA MOSBY LCSW
Social Worker (Clinical)
2535 W CHEYENNE AVE STE 102
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-9275
AIYYEIMAH SHAWNIQUE BERRY
Counselor
2535 W CHEYENNE AVE STE 102
NORTH LAS VEGAS, NV 89032
Clark County (702) 405-8088
MRS. CAROLYN DENISE MCGEE MA, LMFT
Marriage & Family Therapist
2535 W CHEYENNE AVE STE 102
NORTH LAS VEGAS, NV 89032
Clark County (702) 405-8088
TRACY DO
Psychiatry & Neurology (Psychiatry)
2535 W CHEYENNE AVE STE 102
NORTH LAS VEGAS, NV 89032
Clark County (702) 405-8088

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 Ryan Fullenwiley-jones's NPI number?

The NPI number for Ryan Fullenwiley-jones is 1558909549. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Where is Ryan Fullenwiley-jones located?

Ryan Fullenwiley-jones practices at 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032. The listed phone number is (702) 405-8088.

What is Ryan Fullenwiley-jones's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Ryan Fullenwiley-jones enrolled in Medicare?

Yes. Ryan Fullenwiley-jones is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Fullenwiley-jones was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.