RYAN KINDRED CORK
NPI 1730796673
Case Manager/Care Coordinator in Jacksonville, FL

Q: What is Ryan Cork's NPI number?

The NPI number for Ryan Cork is 1730796673. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Q: What is Ryan Cork's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Cork was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 September 24, 2020

5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207(904) 801-9560 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 24, 2025, Jul 27, 2023, Sep 24, 2020 (3 updates tracked since 2020).

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About Ryan Kindred Cork NPPES

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

RYAN KINDRED CORK (NPI 1730796673) is an individual case manager/care coordinator provider in Jacksonville, Florida and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1730796673

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameRYAN KINDRED CORK

Location Address5776 SAINT AUGUSTINE RDJacksonville, FL 32207-8046

Mailing Address5776 Saint Augustine RdJacksonville, FL 32207-8046 · (904) 801-9560

Phone(904) 801-9560

Sole ProprietorNo

Enumeration DateSeptember 24, 2020

Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1730796673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

5776 SAINT AUGUSTINE RD, Jacksonville, FL 32207

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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.

MRS. AMANDA KAY CALLAHAN LCSW

Social Worker (Clinical)