Individual provider Active NPI

Mary Kathryn Frith, N.P.

  • Gerontology Nurse Practitioner
  • Coppell, TX
National Provider Identifier
1235582495
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP130668 Issued in TX
Practice address
1410 E Sandy Lake Rd
Coppell, TX 75019-3119
Phone
(972) 304-4444
NPI assigned
Jul 22, 2016
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP130668 TX
Gerontology Nurse Practitioner 363LG0600X AP130668 TX Primary

Addresses

Primary practice location

1410 E Sandy Lake Rd
Coppell, TX 75019-3119

Mailing address

3305 Camden Dr
Flower Mound, TX 75028-2923
Phone (318) 282-9701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170210001593 TX Practitioner - Nurse Practitioner 1254614522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Matrix PLLCGroup PAC ID 7719137397, 40 clinicians

Practice addresses (Care Compare)

201 Watermere Dr
Southlake, TX 76092-8137
Phone (954) 939-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130668TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Matrix, PLLC CurrentSince Sep 1, 2016 Accepting new patients
Questcare Matrix, PLLC CurrentSince Sep 1, 2016 Accepting new patients

Locations

1410 E Sandy Lake Rd
Coppell, TX 75019
Phone (972) 304-4444

550 E Ann Arbor Ave
Dallas, TX 75216
Phone (214) 376-1701

850 12th Ave
Ft Worth, TX 76104
Phone (210) 493-3165

7499 Stanwick Dr
Houston, TX 77087
Phone (713) 644-8048

8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

201 Watermere Dr
Southlake, TX 76092
Phone (817) 337-7600

Organizations & group practices 2

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1235582495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 CAMDEN DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282923",
            "telephone_number": "318-282-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193119",
            "telephone_number": "972-304-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITH",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP130668",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP130668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.