MRS. BETHANY FRY (NPI# 1538430327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538430327 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY FRY |
| Credential | CRNP |
| Practice Address |
5900 Waterloo Rd Suite 110 Columbia MD 21045-2639 |
| Practice Telephone | 4434511614 |
| Practice Fax Number | 4434511619 |
| Mailing Telephone | 4434511614 |
| Mailing Fax Number | 4434511619 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R175641 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5900 WATERLOO RD SUITE 110 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609843838 | Rumneet K Saini | Specialist | 5900 Waterloo Rd, Suite 110, Columbia, MD 21045-2639 | 2006-03-07 |
| 1043684129 | University of Maryland Medicine Asc, LLC | Clinic/Center | 5900 Waterloo Rd, Suite 120, Columbia, MD 21045-2630 | 2015-11-30 |
| 1316328586 | Nusmiles Orthodontics | Dentist | 5900 Waterloo Rd, #220, Columbia, MD 21045-2630 | 2015-06-14 |
| 1609276302 | Esther Makanjuola | Nurse Practitioner | 5900 Waterloo Rd, Suite 224, Columbia, MD 21045-2630 | 2014-08-29 |
| 1912241514 | Emily Ann Spears | Nurse Practitioner | 5900 Waterloo Rd, Suite 110, Columbia, MD 21045-2639 | 2012-11-20 |
| 1588892186 | Alice C Wang | Dentist | 5900 Waterloo Rd, #220, Columbia, MD 21045-2630 | 2009-06-23 |
| 1518935410 | Christine M Reilly | Specialist | 5900 Waterloo Rd, Suite 110, Columbia, MD 21045-2639 | 2006-03-08 |
| 1033186218 | Monique Soileau-burke | Specialist | 5900 Waterloo Rd, Suite 110, Columbia, MD 21045-2639 | 2006-03-07 |
| 1396712543 | Dianne J Landrum | Specialist | 5900 Waterloo Rd, Suite 110, Columbia, MD 21045-2639 | 2006-03-07 |
| 1063489201 | Michele M Mcewan | Specialist | 5900 Waterloo Rd, Suite 110, Columbia, MD 21045-2639 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.