NPI Registry.org

Katie Ryder

NPI Registration Record

Provider / OrganizationNPIDate Certified
KATIE RYDER13368908212022-01-16

Katie Ryder is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336890821. Registration indicates Katie Ryder is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider Name Katie Ryder PA-C
Practice Office Address495 WESTERN AVE
BRIGHTON, MA US
Practice Office Telephone6177830500
Practice Office Fax6175621398
Mailing Address495 WESTERN AVE
BRIGHTON, MA 021351007 US
Business Telephone6177830500
Business Fax6175621398
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
OPI Codes
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