Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanna Tachiki Ryan, RD

Individual provider Dermatology Physician · NPI 1912316654

Jeanna Tachiki Ryan, RD is a Physician Assistant in Murray, Utah. Qualified in 2018, 8 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

243 E 6100 S
Murray, UT 84107-7302
Phone: (801) 414-8890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Dermatology Physician Taxonomy 207N00000X · Licence 87742931206 (UT)

Record details

NPI number1912316654
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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