Individual provider Active NPI

Kenyetta Frier, RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1114216173
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
186217-30 Issued in WI
Practice address
7942 N 107TH St
Apt 4
Milwaukee, WI 53224-3170
Phone
(414) 393-8779
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 186217-30 WI Primary

Addresses

Primary practice location

7942 N 107TH St
Apt 4
Milwaukee, WI 53224-3170

Mailing address

7942 N 107TH St
Apt 4
Milwaukee, WI 53224-3170
Phone (414) 393-8779

Other names 1

  • Kenyetta Griffin Former name

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)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Health Is Wealth, LLC Registered Nurse CurrentSince Feb 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1114216173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7942 N 107TH ST",
            "address_2": "APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243170",
            "telephone_number": "414-393-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7942 N 107TH ST",
            "address_2": "APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243170",
            "telephone_number": "414-393-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIER",
        "first_name": "KENYETTA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "186217-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENYETTA",
            "last_name": "GRIFFIN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.