Active NPI
Eugonda Fryman, APRN
- Family Nurse Practitioner
- Mount Olivet, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008733
- Practice address
- 45 McDowell St
Mount Olivet, KY 41064 - Phone
- (606) 698-6160
- Fax
- (335) 812-4228
- NPI assigned
- Jul 1, 2014
- Last updated
- Aug 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008733 | KY | Primary |
Addresses
Primary practice location
45 McDowell St
Mount Olivet, KY 41064
Mailing address
PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3008733 | Other | KY | APRN # |
| K182520, K182521 | Other | MEDICARE | |
| 7100327520 | Medicaid | KY |
Other names 1
- Eugonda Jolly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 Kentucky Hwy 36E
Cynthiana, KY 41031-7490
1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 234-2300
432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636
439 E Pleasant St
Cynthiana, KY 41031-1827
Phone (859) 234-4494
525 Tucker Dr
Maysville, KY 41056-9182
Phone (859) 509-5636
927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-5331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008733 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients | |
| Harrison Memorial Hospital | Family | Current | Accepting new patients |
| Medycus Staffing PLLC | Current | Accepting new patients | |
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients | |
| Harrison Memorial Hospital | Current | Accepting new patients | |
| Harrison Memorial Hospital Inc | Family | Current | Accepting new patients |
Locations
432 16th St
Ashland, KY 41101
Phone (859) 509-5636
254 E Main St
Carlisle, KY 40311
Phone (859) 289-6311
1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300
1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222
439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494
805 US Highway 27 S
Cynthiana, KY 41031
Phone (859) 234-2020
809 US Highway 27 S
Ste 107
Cynthiana, KY 41031
Phone (859) 234-2300
1102 W Shelby St
Falmouth, KY 41040
Phone (859) 654-3232
Interoperability endpoints
- eugonda.fryman.1@13661.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba HMH Physician Group
- Multi-Specialty Clinic/Center
- Cynthiana, KY
- NPI 1669615233
Family
-
dba PrimaryPlus
- Federally Qualified Health Center (FQHC)
- Vanceburg, KY
- NPI 1457303802
-
dba Thoroughbred Emergency Services
- Emergency Medicine Physician
- Cynthiana, KY
- NPI 1437859162
-
dba HMH Primary Care
- Rural Health Clinic/Center
- Cynthiana, KY
- NPI 1588237150
-
dba PrimaryPlus - Morehead
- Federally Qualified Health Center (FQHC)
- Morehead, KY
- NPI 1215643440
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cynthiana, KY
- NPI 1629084702
-
dba Hayswood Home Health
- Home Health Agency
- Maysville, KY
- NPI 1669426748
-
- Community Based Hospice Care Agency
- Maysville, KY
- NPI 1063451979
-
dba Meadowview Regional Medical Center
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
dba Meadowview Regional Medical Center
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1083020853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411790550",
"telephone_number": "606-796-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 MCDOWELL ST",
"city": "MOUNT OLIVET",
"state": "KY",
"postal_code": "41064",
"telephone_number": "606-698-6160",
"fax_number": "335-812-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYMAN",
"first_name": "EUGONDA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2022-08-24",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN #",
"identifier": "3008733",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "K182520, K182521",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100327520",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EUGONDA",
"last_name": "JOLLY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Olivet, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.