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

Ryan James Katides, RN, CNP

Individual provider Emergency Registered Nurse · NPI 1093315863

Ryan James Katides, RN, CNP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Pratt Medical Group Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

300 Washington St
Boston, MA 02108-4639
Phone: (617) 363-5566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN283478 (MA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN283478 (MA)

Record details

NPI number1093315863
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , CNP
Sole proprietorNo
NPI enumeratedOctober 29, 2020
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address15 Hale St, Weymouth, MA 02189-1042

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pratt Medical Group Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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