Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174958763 Individual Practitioner Female Practitioner

Jennifer Ryan

Licensed Practical Nurse • Mattapan, MA

Professional Overview & Biography Verified Profile Summary

Jennifer Ryan is a registered healthcare professional specializing in Licensed Practical Nurse in Mattapan, MA. Practice services are available at 1135 MORTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1135 Morton St

Mattapan, MA 021262834

Telephone 6175332300
Fax 6175332341
Associated Practice Facility / Clinic
🏢 Neponset Health Center Facility NPI 1821304395

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Mattapan, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Mattapan, MA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MA LN67522

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Robert Gilbert

Registered Nurse

NPI 1013340165
Wendey Cheung , RN

Registered Nurse

NPI 1093019986

Registered Nurse

Maureen Moore

Dental Hygienist

NPI 1124438379
Nicole Smith , RN

Registered Nurse

NPI 1134429244

Registered Nurse

Paulette Querner , RN

Registered Nurse

NPI 1225332083

Registered Nurse

Elizabeth Fitzgerald

Registered Nurse

NPI 1245663392

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2013

Registered at 1135 MORTON ST, MATTAPAN, MA 021262834 (Tel: 6175332300)

📍
Updated Business Mailing Address September 13, 2013

Registered at 398 NEPONSET AVE, DORCHESTER, MA 021223134

👤
Provider Name / Credentials Updated September 13, 2013

Recorded as JENNIFER RYAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2013

Licensed Practical Nurse (License #LN67522 in MA)

🟢
Initial NPI Registration & Enumeration September 13, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174958763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2013
Last Update: September 13, 2013
Sole Proprietor: Yes

Mailing Address

398 Neponset Ave

Dorchester, MA 021223134

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.