MS. MINDI MARIE FRY (NPI# 1447560669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447560669 |
| Entity Type | Individual |
| Full Name | MS. MINDI MARIE FRY |
| Credential | CRNP |
| Practice Address |
1201 Sam Perry Blvd Ste 280 Fredericksburg VA 22401-8400 |
| Practice Telephone | 5403612922 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001221226 | VA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 0024177908 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | SP010900 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103129038 | 05 |
| Street Address |
1201 SAM PERRY BLVD STE 280 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297655 | Dianne Johnson | Nurse Practitioner | 1201 Sam Perry Blvd Ste 280, Fredericksburg, VA 22401-8400 | 2017-07-12 |
| 1942667555 | Pamela Huffman | Nurse Practitioner | 1201 Sam Perry Blvd Ste 280, Fredericksburg, VA 22401-8400 | 2016-01-27 |
| 1366798209 | Lori A Hanrahan | Nurse Practitioner | 1201 Sam Perry Blvd Ste 280, Fredericksburg, VA 22401 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789160 | Quintina Foster-jackson | Nurse Practitioner | 4510 Plank Road, Fredericksburg, VA 22407 | 2016-06-01 |
| 1922461573 | Audrey Humphrey | Nurse Practitioner | 10009 Southpoint Pkwy, Fredericksburg, VA 22407-2709 | 2016-03-31 |
| 1689057010 | Lisa Kott-harrington | Nurse Practitioner | 1308 S State Highway 16, Fredericksburg, TX 78624-5058 | 2015-07-02 |
| 1457591596 | Elizabeth Wheatley | Nurse Practitioner | 621jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401 | 2009-03-03 |
| 1629295480 | Victor Madrigal | Nurse Practitioner | 1020 S Highway 16, Fredericksburg, TX 78624-4471 | 2007-04-20 |
| 1093768947 | Samantha Franz | Nurse Practitioner | 10502 Rhoads Dr, Fredericksburg, VA 22407 | 2006-05-19 |
| 1255392528 | Kia Marie Williams Eagleton | Nurse Practitioner | 111 Olde Greenwich Dr Ste 101, Fredericksburg, VA 22408-4007 | 2006-03-28 |
| 1689640195 | Vicki Wallace | Nurse Practitioner | 1101 Sam Perry Blvd., Suite 211, Fredericksburg, VA 22401 | 2006-02-24 |
| 1194700377 | Gillespie Emergency Medicine Associates Pa | Nurse Practitioner | 1020 Hwy 16 S, Fredericksburg, TX 78624-4471 | 2005-12-11 |
| 1649260035 | Pamela S Mccullough | Nurse Practitioner | 12101 Carol Ln, Fredericksburg, VA 22407-6101 | 2005-10-26 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.