Individual provider Active NPI

Robin Marie Charlton-Fry, LPN

  • Licensed Practical Nurse
  • St Ignatius, MT
National Provider Identifier
1144580119
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN8777 Issued in MT
Practice address
62401 Foothill Rd
Saint Ignatius, MT 59865-9113
Phone
(406) 214-4242
NPI assigned
May 23, 2012
Last updated
May 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

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 PN8777 MT Primary

Addresses

Primary practice location

62401 Foothill Rd
Saint Ignatius, MT 59865-9113

Mailing address

62401 Foothill Rd
Saint Ignatius, MT 59865-9113
Phone (406) 214-4242

Other identifiers 1

IdentifierTypeStateIssuer
PN8777OtherMTLPN LICENSE

Other names 1

  • Ms. Robin Marie Fry Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN8777MTMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1144580119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62401 FOOTHILL RD",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598659113",
            "telephone_number": "406-214-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62401 FOOTHILL RD",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598659113",
            "telephone_number": "406-214-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON-FRY",
        "first_name": "ROBIN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MT",
            "license": "PN8777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "PN8777",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "FRY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Ignatius, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.