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

Taysha Marie Ryan

Individual provider Family Nurse Practitioner · NPI 1770123804

Taysha Marie Ryan is a Nurse Practitioner in Champaign, Illinois. Qualified in 2019, 7 years ago. Practices with Kevin Elliott Counseling PC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

309 W Clark St
Champaign, IL 61820-4637
Phone: (217) 398-9066
Fax: (217) 398-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Philo Rd, Urbana, IL 61802-8007 — (217) 398-9066

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209020376 (IL)

Record details

NPI number1770123804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

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 Kevin Elliott Counseling Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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