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

Mrs. Mary Susan Riyanto, WHNP

Individual provider Women's Health Nurse Practitioner · NPI 1558783746

Mrs. Mary Susan Riyanto, WHNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2013, 13 years ago. Practices with Dallas County Hospital District, a 598-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2014
What do these letters mean?
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

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Practice location Address checks out

6300 Harry Hines Blvd Ste 600
Dallas, TX 75235
Phone: (214) 266-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 666550 (TX)

Record details

NPI number1558783746
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP
Sole proprietorYes
NPI enumeratedJanuary 8, 2014
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Dallas County Hospital District — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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