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Deactivated NPI 1952935579 Deactivated / Inactive NPI Female Practitioner

Kimberly Ryan , CTNC, CHHP

Prevention Professional • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimberly Ryan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2020
NPI Deactivation Date November 19, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Kimberly Ryan, CTNC, CHHP was a registered Prevention Professional practicing in Austin, TX. Throughout an active medical career spanning 4 years, Kimberly Ryan provided care at the practice location at 18509 EMPRESA PL until profile deactivation on 2024-11-19.

Practice Location & Contact Primary Location

Practice Address

18509 Empresa Pl

Austin, TX 787382120

Telephone 5128267918

Specialty Benchmarks & Practice Insights

Comparative analytics for Prevention Professional in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Austin, TX (13 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

Prevention Professional Primary Specialty

NUCC Taxonomy Code: 405300000X

State License TX 97373506

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 19, 2024

Record deactivated on November 19, 2024

NPI Profile Active February 24, 2020

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2020

Registered at 18509 EMPRESA PL, AUSTIN, TX 787382120 (Tel: 5128267918)

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Updated Business Mailing Address February 24, 2020

Registered at 18509 EMPRESA PL, AUSTIN, TX 787382120 (Tel: 5128267918)

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Provider Name / Credentials Updated February 24, 2020

Recorded as KIMBERLY RYAN, CTNC, CHHP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2020

Prevention Professional (License #97373506 in TX)

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Initial NPI Registration & Enumeration February 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952935579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2020
Last Update: February 24, 2020
Deactivation Date: November 19, 2024

Mailing Address

18509 Empresa Pl

Austin, TX 787382120

Phone: 5128267918

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.