MARY SHEPPARD FRIES (NPI# 1710017140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710017140 |
| Entity Type | Individual |
| Full Name | MARY SHEPPARD FRIES |
| Credential | RN |
| Practice Address |
451 Sterling Hwy Homer AK 99603-7440 |
| Mailing Address |
4300 Bartlett St Homer AK 99603-7005 |
| Practice Telephone | 9072350369 |
| Mailing Telephone | 9072350369 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WH0200X |
Registered Nurse Specialization: Home Health |
HH2711 | AK | Nursing Service Providers |
| X | 171WH0202X |
Contractor Specialization: Home Modifications |
HC2563 | AK | Other Service Providers |
| X | 372500000X | Chore Provider | HC2563 | AK | Nursing Service Related Providers |
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
PCG519A | AK | Nursing Service Related Providers |
| X | 374U00000X | Home Health Aide | HH2711 | AK | Nursing Service Related Providers |
| X | 376K00000X | Nurse's Aide | HH2711 | AK | Nursing Service Related Providers |
| X | 171M00000X | Case Manager/Care Coordinator | CMG799 | AK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NA3799 | 05 | |
| AK | PCG519A | 05 | |
| AK | CMG799 | 05 | |
| AK | HC2563 | 05 | |
| AK | HH2711 | 05 | |
| AK | MSO272 | 05 |
| Street Address |
451 STERLING HWY |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407031982 | Peggy Ellen Kleinleder | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2008-01-03 |
| 1285766683 | Sherry Bartlett | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2007-03-12 |
| 1710018312 | Linda Wagner | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2007-03-08 |
| 1609907203 | Janet Mullen | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2007-03-08 |
| 1114058708 | Marilyn Shroyer | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2007-03-08 |
| 1578694071 | Bronwyn Kennedy | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073899266 | Heidi J Smith | Registered Nurse | 4300 Bartlett Street, C/o Sph- Homehealth, Homer, AK 99603 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434945 | Marshal Ann Packa | Registered Nurse | 2930 W Youngtree Dr, Wasilla, AK 99623-4131 | 2020-07-07 |
| 1770133530 | Khaddy Jobarteh | Registered Nurse | 13111 Scottie Ct, Anchorage, AK 99515-3855 | 2019-09-13 |
| 1386012128 | Sarah Gillespie | Registered Nurse | 2803 Aspen Dr Apt 1, Anchorage, AK 99517-3323 | 2015-09-10 |
| 1821477795 | Kristina Theresa Ferro O'mara | Registered Nurse | 670 W. Fireweed Lane, Suite 160, Anchorage, AK 99503 | 2015-05-26 |
| 1407240526 | Joseph Marvin Penafort | Registered Nurse | 2101 Lore Rd Apt A, Anchorage, AK 99507-2981 | 2015-03-26 |
| 1366841363 | Zora Lesueur | Registered Nurse | 670 Fireweed Lane Suite 160, Anchorage, AK 99503-5321 | 2014-08-15 |
| 1861806879 | Carol Johnson | Registered Nurse | 43421 K Beach Rd # 4, Soldotna, AK 99669-8259 | 2014-06-17 |
| 1629221221 | Amy Kathryn Matthews | Registered Nurse | 1915 East Rezanof Dr, Kodiak, AK 99615 | 2008-10-28 |
| 1235335340 | Julie Robin Campbell | Registered Nurse | 3546 Latouche St, Suite 101, Anchorage, AK 99508-4209 | 2007-06-25 |
| 1093332678 | Alaska Abbey Home Health Care & Private Duty Nursing | Registered Nurse | 3240 Penland Pkwy Spc 211, Anchorage, AK 99508-1913 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.