Individual provider Active NPI

Charlotte M Frires, CNM, MSN

  • Specialist
  • Beachwood, OH
National Provider Identifier
1225096001
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RN 188002 NM 02969 Issued in OH
Practice address
4110 Warrensville Center Rd
Beachwood, OH 44122-7024
Phone
(216) 491-7774
Fax
(216) 491-7775
NPI assigned
May 2, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X RN 188002 NM 02969 OH Primary

Addresses

Primary practice location

4110 Warrensville Center Rd
Beachwood, OH 44122-7024

Mailing address

275 Springside Dr Ste 100
Akron, OH 44333-4549

Other identifiers 1

IdentifierTypeStateIssuer
0765980MedicaidOH

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
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN 188002 NM 02969OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
Institute for Womens and Childrens Health, Inc. PastSince May 24, 2017 Accepting new patients
Gary R Kutsikovich MD and Associates Inc PastSince Feb 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cfrirescnm51687@direct.ccf.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1225096001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SPRINGSIDE DR STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WARRENSVILLE CENTER RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-491-7774",
            "fax_number": "216-491-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIRES",
        "first_name": "CHARLOTTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "CNM, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "RN 188002 NM 02969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765980",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.