Look up the most recent NPI and PECOS records

Ryanna Smith

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453

PECOS Enrollment

Based on the most recent information from CMS, provider Ryanna Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1285112441
Provider Type
Individual
Full Name
Smith, Ryanna
Credential
NURSE PRACTITIONER

Gender
Female
Sole Proprietor
No
Enumeration Date
7/31/2018
Last Updated
8/6/2025

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453

(718) 299-7295

Unlisted Fax

Mailing Location

3198 Grand Concourse, Bronx, NY 10458-1000

(718) 618-0401

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F343704 New York
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9266334 Florida

Ryanna Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Carr-Celestine, Schevaughn

Abalola, Memoudou

Nwaoha, Nkechi

Kim, Youngyun

Kim, Hyunji

Kang, Miyoung

Jean-Gilles, Ghandy

Kim, Michael Jae Woo

Herrera, Yoandri

Singh, Maninderjit