Active NPI
Kathryn A Friedli, LISW, MSW
- Clinical Social Worker
- Sioux City, IA
National Provider Identifier
1104903079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04847
- Practice address
- 2720 Stone Park Blvd
St Lukes Rgional Medical Center
Sioux City, IA 51104 - Phone
- (712) 279-3500
- Fax
- (712) 279-3929
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04847 | IA | Primary |
Addresses
Primary practice location
2720 Stone Park Blvd
St Lukes Rgional Medical Center
Sioux City, IA 51104
Mailing address
2720 Stone Park Blvd
St Lukes Rgional Medical Center
Sioux City, IA 51104
Phone (712) 279-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31715 | Other | IA | WELLMARK BCBS |
Other names 1
- Kathryn W Friedli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 80.99
- Improvement activities
- 40
- Cost
- 72.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1104903079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"address_2": "ST LUKES RGIONAL MEDICAL CENTER",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51104",
"telephone_number": "712-279-3500",
"fax_number": "712-279-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"address_2": "ST LUKES RGIONAL MEDICAL CENTER",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51104",
"telephone_number": "712-279-3500",
"fax_number": "712-279-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDLI",
"first_name": "KATHRYN",
"middle_name": "A",
"credential": "LISW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "04847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "31715",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "FRIEDLI",
"middle_name": "W",
"credential": "LISW, MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.