KELLY FRIESNER-GEPHART FNP-C NPI 1225668692

NPI Information

NPI: 1225668692
Provider Name: KELLY FRIESNER-GEPHART, FNP-C
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: PEDIATRIC ACADEMIC ASSOCIATION, INC.

PECOS Registration: Yes

Address:
380 BUTTERFLY GARDENS DR
COLUMBUS, OH
ZIP 43215
Phone: (614) 722-2000
Get Directions

Kelly Friesner-gephart, FNP-C is a pediatrics nurse practitioner in Columbus, OH with 5 years of experience. Kelly Friesner-gephart, FNP-C NPI is 1225668692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

380 BUTTERFLY GARDENS DR
COLUMBUS, OH
ZIP 43215-508
Phone: (614) 722-2000
Fax: (614) 722-4380

The NPI 1225668692 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2020 and was last updated on 2/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN.CNP.026193	OHIO	No
2	363LP0200X	Nurse Practitioner	Pediatrics	026193	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0399274	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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