Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ruth Ryan, RN, DNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417576752

Nicole Ruth Ryan, RN, DNP, PMHNP-BC is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2019, 7 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4420 Dixie Hwy Ste 114
Louisville, KY 40216-2986
Phone: (502) 449-6464
Fax: (502) 449-6465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3014455 (KY)

Record details

NPI number1417576752
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , DNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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