Tanaea Elaine Fry, LPN, #147093

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

147093 Issued in OH

Practice address

68 Antles Ave
Barberton, OH 44203-2313

Phone

(330) 217-4810

NPI assigned

Dec 19, 2023

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

State licenses

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1043088073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ANTLES AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032313",
            "telephone_number": "614-353-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ANTLES AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032313",
            "telephone_number": "330-217-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "TANAEA",
        "middle_name": "ELAINE",
        "credential": "LPN,    #147093",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "147093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Fox, LPN
• Michael Frank, MD
• Eileen Marie Frase
• Shelly R Frasier, RN
• Alexandra Piampiano Freeman, DO
• Jessica Fuller, LPN
• Katie Gable, PHARMD
• Clarissa Antoinette Gaiter
• Tammy Galik, LPN
• Cassandra Galloway, M.ED, LPCC-S

• Licensed Practical Nurse in Barberton, OH
• Providers in Barberton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.