Jessica Kious-Fry, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5008281 Issued in NC

Practice address

11200 Governor Manly Way Ste 303a
Raleigh, NC 27614-7375

Phone

(919) 570-7590

Fax

(919) 570-7636

NPI assigned

Sep 18, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  SC

  Medicare reassignment Care Compare group NPD
• Rex Hospital Inc

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1972939643
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1023444338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 303A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147375",
            "telephone_number": "919-570-7590",
            "fax_number": "919-570-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 303A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147375",
            "telephone_number": "919-570-7590",
            "fax_number": "919-570-7636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Redwood Ln",
            "address_purpose": "LOCATION",
            "city": "Louisburg",
            "state": "NC",
            "postal_code": "275492678",
            "country_code": "US",
            "telephone_number": "919-496-3909",
            "fax_number": "919-496-5032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIOUS-FRY",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TN",
            "license": "APN0000017662",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5008281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Colette Kinney, RN, BSN, CCRN
• Thomas Kinney
• Ashley F Kinsey, DPT, PT
• Mark Kinstle, RPH
• Mary M Kintz, PT
• Anna Olivia Kirby, LCSW-P
• Jerod Kirby, DPT
• Laura Courtney Kirby
• Morgan Kirby
• Tracey Marshall Kirby

• Adult Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.