JENA L FRY (NPI# 1811909609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811909609 |
| Entity Type | Individual |
| Full Name | JENA L FRY |
| Credential | PA-C |
| Practice Address |
712 Saint John St Garden City KS 67846-5128 |
| Practice Telephone | 6202751766 |
| Mailing Telephone | 6202751766 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1500856 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100450410A | 05 |
| Street Address |
712 SAINT JOHN ST |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063375 | Karen L. Nonhof | Family Medicine | 712 Saint John St, Garden City, KS 67846-5128 | 2005-09-19 |
| 1740801885 | Holly Yvonne Mancillas | Social Worker | 712 Saint John St, Garden City, KS 67846-5128 | 2020-04-29 |
| 1992342489 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Pharmacy | 712 Saint John St, Garden City, KS 67846-5128 | 2019-12-04 |
| 1437719580 | Vanessa Patricia Gaytan | Social Worker | 712 Saint John St, Garden City, KS 67846-5128 | 2019-06-19 |
| 1801319181 | Kandi L Arwine | Nurse Practitioner | 712 Saint John St, Garden City, KS 67846 | 2017-07-19 |
| 1710407119 | Cassandra Ann Horton | Nurse Practitioner | 712 Saint John St, Garden City, KS 67846 | 2017-06-27 |
| 1790205565 | Jill Renee Beymer | Nurse Practitioner | 712 Saint John St, Garden City, KS 67846-5128 | 2017-06-22 |
| 1891171872 | Bethany Goetschius | Pharmacist | 712 Saint John St, Garden City, KS 67846-5128 | 2015-07-31 |
| 1497136220 | Racquel Stucky | Family Medicine | 712 Saint John St, Garden City, KS 67846-5128 | 2015-06-17 |
| 1932505054 | Samuel Goetschius | Nurse Practitioner | 712 Saint John St, Garden City, KS 67846 | 2014-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215237979 | Cassandra M Ottaviano | Physician Assistant | 777 Zeckendorf Blvd, Garden City, NY 11530-2126 | 2010-10-28 |
| 1255597043 | Nathan Gracey | Physician Assistant | 325 W. Logan Highway, Garden City, UT 84028 | 2008-08-01 |
| 1104988542 | Nicole Josephine Tuffarelli | Physician Assistant | 54 New Hyde Park Road, Garden City, NY 11530 | 2006-12-14 |
| 1861436883 | Candace B Hinman | Physician Assistant | 2347 Highway 17 Business South, Garden City, SC 29576-7611 | 2006-06-16 |
| 1639714058 | Maria P Giraldo | Physician Assistant | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2019-11-08 |
| 1407391998 | Maria Jilian | Physician Assistant | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2016-12-20 |
| 1831506336 | Michele Damiani | Physician Assistant | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2014-07-16 |
| 1629494349 | Maudeline Michel | Physician Assistant | 877 Stewart Ave, Garden City, NY 11530-4803 | 2014-03-06 |
| 1134554397 | Jessie Nackman | Physician Assistant | 200 Garden City Plz, Suite 100, Garden City, NY 11530-3301 | 2013-09-06 |
| 1205261641 | Kristen Fields | Physician Assistant | 200 Garden City Plz, Suite 100, Garden City, NY 11530-3301 | 2013-09-04 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
Please comment or provide details below to improve the information on JENA L FRY.
| 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.