MARY SHEPPARD FRIES RN NPI 1710017140

NPI Information

NPI: 1710017140
Provider Name: MARY SHEPPARD FRIES, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
451 STERLING HWY
HOMER, AK
ZIP 99603
Phone: (907) 235-0369
Get Directions

Mary Sheppard Fries, RN is a home health registered nurse in Homer, AK. Mary Sheppard Fries, RN NPI is 1710017140. 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:

451 STERLING HWY
HOMER, AK
ZIP 99603-440
Phone: (907) 235-0369

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/9/2007.

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	163WH0200X	Registered Nurse	Home Health	HH2711	ALASKA	Yes
2	171M00000X	Case Manager/Care Coordinator		CMG799	ALASKA	X
3	171WH0202X	Contractor	Home Modifications	HC2563	ALASKA	X
4	372500000X	Chore Provider		HC2563	ALASKA	X
5	3747P1801X	Technician	Personal Care Attendant	PCG519A	ALASKA	X
6	374U00000X	Home Health Aide		HH2711	ALASKA	X
7	376K00000X	Nurse's Aide		HH2711	ALASKA	X

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
1	HC2563	MEDICAID	ALASKA
2	PCG519A	MEDICAID	ALASKA
3	27010	MEDICARE ID-TYPE UNSPECIFIED	ALASKA
4	MSO272	MEDICAID	ALASKA
5	CMG799	MEDICAID	ALASKA
6	HH2711	MEDICAID	ALASKA
7	NA3799	MEDICAID	ALASKA

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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