ALTA L RYAN
NPI 1639104359
Nurse Practitioner - Obstetrics & Gynecology in Rockford, IL

Active since July 11, 2006
209 9TH ST, SUITE 200, ROCKFORD, IL 61104(779) 696-2750 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alta L Ryan NPPES

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

ALTA L RYAN (NPI 1639104359) is an individual obstetrics & gynecology provider in Rockford, Illinois, licensed in Illinois (209.000800) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1639104359
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameALTA L RYAN
Location Address209 9TH ST, SUITE 200Rockford, IL 61104-2235
Mailing AddressPo Box 1567Rockford, IL 61110-0067
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 1, 2015
NPI 1639104359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in IL · 209.000800
209 9TH ST, Rockford, IL 61104

Other Names 1

Former Name (1)Alta Runkle

Other Identifiers 2

Medicare PINR03134IL
Medicare UPINR17349IL

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.

Physical Therapist
209 9TH ST
ROCKFORD, IL 61104
Occupational Therapist (Pediatrics)
209 9TH ST
ROCKFORD, IL 61104
Obstetrics & Gynecology
209 9TH ST, SUITE 200
ROCKFORD, IL 61104
Nurse Practitioner (Obstetrics & Gynecology)
209 9TH ST, SUITE 200
ROCKFORD, IL 61104
Speech-Language Pathologist
209 9TH ST
ROCKFORD, IL 61104
Internal Medicine (Sleep Medicine)
209 9TH ST, SUITE 301
ROCKFORD, IL 61104
Nurse Practitioner (Obstetrics & Gynecology)
209 9TH ST, SUITE 200
ROCKFORD, IL 61104
Speech-Language Pathologist
209 9TH ST
ROCKFORD, IL 61104

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 Alta Ryan's NPI number?

The NPI number for Alta Ryan is 1639104359. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Alta Runkle.

Where is Alta Ryan located?

Alta Ryan practices at 209 9th St Suite 200, Rockford, IL 61104. The listed phone number is (779) 696-2750.

What is Alta Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Alta Ryan was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.