Individual provider Active NPI

Kathryn Williams Frye, N.P.

  • Family Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1215365002
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP23237 Issued in CA
Practice address
3970 Broad St Ste 2
San Luis Obispo, CA 93401-7097
Phone
(805) 762-4996
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP23237 CA Primary
Registered Nurse 163W00000X RN415178 CA

Addresses

Primary practice location

3970 Broad St Ste 2
San Luis Obispo, CA 93401-7097

Mailing address

3970 Broad St Ste 2
San Luis Obispo, CA 93401-7097
Phone (805) 762-4996

Other names 1

  • Kay Frye Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325001244 CA Practitioner - Nurse Practitioner 2264663889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

3970 Broad St
Suite 2
San Luis Obispo, CA 93401-7097
Phone (805) 762-4996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN415178CAMDRegistered Nurse
23237CAMDOccupational Therapist
NP23237CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Feb 1, 2016 Accepting new patients
Cep America - California Current Accepting new patients
Cep America-California CurrentSince Feb 1, 2016 Accepting new patients
Cottage Clinical Network, LLC CurrentSince Dec 7, 2021 Accepting new patients
Cottage Medical Associates Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients

Locations

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

328 McMurray Rd
Ste 102
Buellton, CA 93427
Phone (805) 688-2600

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

7070 Hollister Ave
Ste C23
Goleta, CA 93117

7070 Hollister Ave
Ste 103
Goleta, CA 93117
Phone (805) 324-9270

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1606 E Clark Ave
#102
Orcutt, CA 93455

3970 Broad St
Ste 2
San Luis Obispo, CA 93401
Phone (805) 762-4996

777 E Foothill Blvd
San Luis Obispo, CA 93405
Phone (805) 762-4348

5652 Calle Real
Santa Barbara, CA 93117
Phone (805) 641-6033

1298 Coast Village Rd
Santa Barbara, CA 93108
Phone (805) 565-1565

3885 State St
Ste A
Santa Barbara, CA 93105
Phone (805) 569-7351

1846 N Broadway
#A
Santa Maria, CA 93454
Phone (805) 361-4279

3596 Skyway Dr
Ste A
Santa Maria, CA 93455

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

1708 S Victoria Ave
Ste D
Ventura, CA 93003
Phone (805) 290-4985

Organizations & group practices 6

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1215365002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 BROAD ST STE 2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017097",
            "telephone_number": "805-762-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 BROAD ST STE 2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017097",
            "telephone_number": "805-762-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "KATHRYN",
        "middle_name": "WILLIAMS",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP23237",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN415178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "FRYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.