Individual provider Active NPI

Karin R. Frybarger, LPN

  • Licensed Practical Nurse
  • Stevens, PA
National Provider Identifier
1053434464
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Aug 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN073419L Issued in PA
Practice address
1266 Sun Valley Rd
Stevens, PA 17578-9770
Phone
(717) 733-8578
NPI assigned
Apr 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN073419L PA Primary

Addresses

Primary practice location

1266 Sun Valley Rd
Stevens, PA 17578-9770

Mailing address

1266 Sun Valley Rd
Stevens, PA 17578-9770
Phone (717) 733-8578

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PN073419LPAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053434464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 SUN VALLEY RD",
            "city": "STEVENS",
            "state": "PA",
            "postal_code": "175789770",
            "telephone_number": "717-733-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 SUN VALLEY RD",
            "city": "STEVENS",
            "state": "PA",
            "postal_code": "175789770",
            "telephone_number": "717-733-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYBARGER",
        "first_name": "KARIN",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN073419L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens, PA

Sources for this page

Verify at the official NPI Registry.