Active NPI
Mary Kathryn Frith, N.P.
- Gerontology Nurse Practitioner
- Coppell, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP130668
- Practice address
- 1410 E Sandy Lake Rd
Coppell, TX 75019-3119 - Phone
- (972) 304-4444
- NPI assigned
- Jul 22, 2016
- Last updated
- Jul 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP130668 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Matrix, PLLC | Current | Accepting new patients | |
| Questcare Matrix, PLLC | Current | 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.
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- Internal Medicine Physician
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- NPI 1629524665
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.