Individual provider Active NPI

Suhmer N Fryer, NEMT , EDUCATOR

  • Driver
  • Sacramento, CA
National Provider Identifier
1174086300
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
4110 Beechcraft Way
Sacramento, CA 95834-4000
Phone
(530) 219-3070
NPI assigned
Apr 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA
Health Educator 174H00000X CA
Driver 172A00000X Primary

Addresses

Primary practice location

4110 Beechcraft Way
Sacramento, CA 95834-4000

Mailing address

PO Box 294
Davis, CA 95617-0294
Phone (530) 551-2182

Other practice location 1

334 Cambridge Ter Apt B
Davis, CA 95618-4373
Phone (707) 208-6279

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

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1174086300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170294",
            "telephone_number": "530-551-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BEECHCRAFT WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958344000",
            "telephone_number": "530-219-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Cambridge Ter Apt B",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956184373",
            "country_code": "US",
            "telephone_number": "707-208-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYER",
        "first_name": "SUHMER",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "NEMT , EDUCATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-14",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.