Active NPI
Frances Caroline Fridell
- Registered Dietitian
- Camden, AR
National Provider Identifier
1003486176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1587
- Practice address
- 638 California Ave SW
Camden, AR 71701-4699 - Phone
- (870) 836-1000
- Fax
- (870) 836-1065
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1587 | AR | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | ALLP-328340 | MA |
Addresses
Primary practice location
638 California Ave SW
Camden, AR 71701-4699
Mailing address
638 California Ave SW
Camden, AR 71701-4699
Phone (870) 836-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALLP-328340 | MA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1003486176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 CALIFORNIA AVE SW",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717014699",
"telephone_number": "870-836-1000",
"fax_number": "870-836-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 CALIFORNIA AVE SW",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717014699",
"telephone_number": "870-836-1000",
"fax_number": "870-836-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDELL",
"first_name": "FRANCES",
"middle_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1587",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "MA",
"license": "ALLP-328340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.