Active NPI
Lubov Fry, ARNP
- Nurse Practitioner
- Coldwater, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704319901
- Practice address
- 892 E Chicago St Ste C
Coldwater, MI 49036-2063 - Phone
- (517) 278-2301
- Fax
- (517) 278-2784
- NPI assigned
- Oct 15, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704319901 | MI | Primary |
Addresses
Primary practice location
892 E Chicago St Ste C
Coldwater, MI 49036-2063
Mailing address
718 E Channel Dr
Coldwater, MI 49036-9425
Phone (954) 336-1824
Other practice location 1
777 Glades Rd
Florida Atlantic University, Student Health
Boca Raton, FL 33431-6424
Phone (561) 297-3512
Other practice location 2
777 Glades Rd
Florida Atlantic University, Student Health
Boca Raton, FL 33431-6424
Phone (561) 297-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 297-1787
670 Glades Rd
Suite 110
Boca Raton, FL 33431-6462
Phone (561) 368-0235
Hospital & facility affiliations
- Winter Haven Hospital
- Orlando Health
- Bartow Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704319901 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Michigan, PLLC | Current | Accepting new patients | |
| Advanced Wound Care, LLC | Current | Accepting new patients | |
| Florida Kidney Physicians, LLC | Current | Accepting new patients | |
| Florida Kidney Physicians , LLC | Current | Accepting new patients | |
| Nautilus Health Care Group, LLC | Current | Accepting new patients | |
| Nautilus Health Care Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Elemental Living Inc | Nurse Practitioner | Current | Accepting new patients |
| Mobile Medical Industries Inc | Past | Accepting new patients | |
| Inphynet Contracting Services LLC | Nurse Practitioner | Past | Accepting new patients |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients |
Locations
2000 Osprey Blvd
Ste 202
Bartow, FL 33830
Phone (863) 531-8436
1905 Clint Moore Rd
Ste 212
Boca Raton, FL 33496
Phone (561) 208-2121
670 Glades Rd
Ste 110
Boca Raton, FL 33431
Phone (561) 289-9467
301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
7339 Stonerock Cir
Orlando, FL 32819
Phone (321) 842-7308
2912 17th St
Saint Cloud, FL 34769
Phone (407) 892-2388
2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971
370 E Chicago St
Ste 700
Coldwater, MI 49036
Phone (517) 279-5099
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
Nurse Practitioner
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wyandotte, MI
- NPI 1497125157
-
- Wound Care Registered Nurse
- Tampa, FL
- NPI 1356036354
-
- General Practice Physician
- Coldwater, MI
- NPI 1841268513
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
Nurse Practitioner
-
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartow, FL
- NPI 1558734095
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194714824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 E CHANNEL DR",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490369425",
"telephone_number": "954-336-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "892 E CHICAGO ST STE C",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490362063",
"telephone_number": "517-278-2301",
"fax_number": "517-278-2784"
}
],
"practiceLocations": [
{
"address_1": "777 Glades Rd",
"address_2": "Florida Atlantic University, Student Health",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316424",
"country_code": "US",
"telephone_number": "561-297-3512",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Glades Rd",
"address_2": "Florida Atlantic University, Student Health",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316424",
"country_code": "US",
"telephone_number": "561-297-3512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRY",
"first_name": "LUBOV",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704319901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.