Individual provider · Type 1 NPI

Ryann Blacka, APRN, FNP-C

Family Nurse Practitioner · Lenexa, KS

NPI number 1780420083 Active

Practice location

15512 W 113th St
Lenexa, KS 66219-5100

Mailing address

1248 SE Warren Dr
Lees Summit, MO 64081-2144

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X53-83388-122 (KS)
Family Medicine Physician 207Q00000X2024007929 (MO)
Family Nurse Practitioner 363LF0000X2024007929 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1780420083

Ryann Blacka, APRN, FNP-C's National Provider Identifier is 1780420083, issued on Jul 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lenexa, KS. The record was last updated on Aug 28, 2026.