Miranda K Fry

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

420 S Washington St
Papillion, NE 68046-2667

Phone

(402) 537-6200

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Papillion la Vista Community Schools

  • Local Education Agency (LEA)
  • Papillion, NE
  • NPI 1528729126
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1023739620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 WITTMUS DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463886",
            "telephone_number": "402-514-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S WASHINGTON ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462667",
            "telephone_number": "402-537-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "MIRANDA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Lea Fricke, OTR/L
• Callie Elizabeth Frisch, RN
• Mercedees Fritz
• Leanna Marie Fronckowiak, OTD
• Cynthia Fry
• Stephanie Fuentes
• Kacie Fuhr, DPT
• Amanda Marie Gabel
• Angela Gable
• Cameron Parker Gable

• Personal Care Attendant in Papillion, NE
• Providers in Papillion, NE by specialty
• Personal Care Attendant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.