DR. BUNNY JUPITER RYDER DNP, FNP-C
NPI 1639734478
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Bunny Ryder's NPI number?

The NPI number for Bunny Ryder is 1639734478. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Bunny Ryder'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 Bunny Ryder was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 07, 2019PECOS Enrolled

2570 48TH ST, SACRAMENTO, CA 95817(415) 385-0422 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 13, 2024, Mar 9, 2022, Mar 2, 2022 and 3 more (6 updates tracked since 2019).

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About Dr. Bunny Jupiter Ryder Dnp, Fnp-c NPPES

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

DR. BUNNY JUPITER RYDER DNP, FNP-C (NPI 1639734478) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639734478

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BUNNY JUPITER RYDERCredential: DNP, FNP-C

Location Address2570 48TH STSacramento, CA 95817-1541

Mailing Address822 Isabella St Unit AOakland, CA 94607-3430 · (415) 385-0422

Phone(415) 385-0422

Sole ProprietorNo

Enumeration DateMay 7, 2019

Last NPPES UpdateJune 13, 20246 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1639734478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 818354 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95011287 (CA)

2570 48TH ST, Sacramento, CA 95817

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Other Identifiers 1

Medicaid1639734478CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bunny Jupiter Ryder Dnp, Fnp-c 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.

SUMON JOHNSON NP

Nurse Practitioner