MEDICARE: RYLEY ANDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1548105232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYLEY ANDERSON

Provider Business Mailing Address
First Line	:	661 WHITE LAUREL LN
Second Line	:
City	:	BOONE
State	:	NC
Zip	:	28607-9331
Country	:	US
Telephone Number	:	828-702-0307
Fax Number	:

Provider Business Practice Location Address
First Line	:	287 RIVERS ST
Second Line	:
City	:	BOONE
State	:	NC
Zip	:	28608-0001
Country	:	US
Telephone Number	:	828-702-0307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

Similar Medicare Providers

1669317509 — MATTHEW WOODY
Practice Location Address:

287 RIVERS ST
BOONE, NC
28608-0001

Practice Phone: 828-262-2000
Practice Fax:

1295717494 — PATRICIA ANN GEIGER M.D.
Practice Location Address:

614 HOWARD STREET , ASU
BOONE, NC
28608-0001

Practice Phone: 828-262-3100
Practice Fax: 828-262-6262

1376522821 — APPALACHIAN STATE UNIVERSITY STUDENT HEALTH SERVICES
Practice Location Address:

614 HOWARD STREET , BOX 32070
BOONE, NC
28608-0001

Practice Phone: 828-262-3100
Practice Fax: 828-262-6262

1346220704 — DR. DYKES TAYLOR RUSHING M.D.
Practice Location Address:

STUDENT HEALTH, APPALACHIAN STATE UNIVERSITY , 614 HOWARD STREET, BOX 32070
BOONE, NC
28608-0001

Practice Phone: 828-262-3100
Practice Fax: 828-262-6262

1053367888 — DR. DENISE M. MARTZ PH.D.
Practice Location Address:

DEPARTMENT OF PSYCHOLOGY , APPALACHIAN STATE UNIVERSITY- SMITH WRIGHT HALL
BOONE, NC
28608-0001

Practice Phone: 828-262-2715
Practice Fax: 828-262-2974

1043230121 — DR. JAMIE LYNN MOUL
Practice Location Address:

111 RIVERS STREET , HOLMES CONVOCATION CENTER
BOONE, NC
28608-0001

Practice Phone: 828-262-7630
Practice Fax:

Directions to “ RYLEY ANDERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.