Lisa Colette Ryan
CRNP | Nurse Practitioner | 25+ years Exp
4280 Watermelon Rd Ste 112, Northport
Alabama, 35473-5250
205-750-0030
Lisa Colette Ryan is a Northport, Alabama based nurse practitioner with 25 years of experience in . She completed her graduation in 2000. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Lisa Colette Ryan is 1065521 in Alabama. Her current practice location is 4280 Watermelon Rd Ste 112, Northport. Patients can reach her at 205-750-0030 or can fax her at 205-750-0855. Lisa Colette Ryan is CRNP and her NPI number (Unique professional ID assigned by NPPES) is 1003891607.
Lisa Colette Ryan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa Colette Ryan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa Colette Ryan |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CRNP |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 4280 Watermelon Rd Ste 112, Northport,
Alabama, 35473-5250 |
| Phone: | 205-750-0030 |
| Fax: | 205-750-0855 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5991096463 |
| Enrollment ID: | I20170221001479 |
| NPI Number: | 1003891607 |
| NPI Enumeration Date: | 07 Dec, 2005 |
| NPI Last Update On: | 28 Feb, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Colette Ryan are as mentioned below.
| License Number | Specialization | State | Status | |
| 1065521 | | Alabama | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa Colette Ryan is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| W V Medical Services Pc (0840254975) | 6 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Colette Ryan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 051510187 | Other | Alabama | BCBS |
| 226037 | Medicaid | Alabama | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa Colette Ryan
4280 Watermelon Rd Ste 112,
Northport, Alabama |
| Zip: | 35473-5250 |
| Phone Number: | 205-750-0030 |
| Fax Number: | 205-750-0855 |
Patients can reach Lisa Colette Ryan at
4280 Watermelon Rd Ste 112, Northport, Alabama or can
call to book an appointment on 205-750-0030.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.