Active NPI
Kathy A. Fratrick
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1275605909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5602
- Practice address
- 13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504 - Phone
- (239) 466-1111
- Fax
- (239) 454-2111
- NPI assigned
- Nov 15, 2006
- Last updated
- May 9, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5602 | FL | Primary |
Addresses
Primary practice location
13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504
Mailing address
13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504
Phone (239) 454-2146
Other practice location 1
15051 Shell Point Blvd
Fort Myers, FL 33908-1639
Phone (239) 454-2146
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.matrixcare.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5602 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1275605909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13880 SHELL POINT PLAZA",
"address_2": "SUITE 110",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083504",
"telephone_number": "239-454-2146",
"fax_number": "239-454-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13880 SHELL POINT PLAZA",
"address_2": "SUITE 110",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083504",
"telephone_number": "239-466-1111",
"fax_number": "239-454-2111"
}
],
"practiceLocations": [
{
"address_1": "15051 Shell Point Blvd",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339081639",
"country_code": "US",
"telephone_number": "239-454-2146",
"fax_number": "239-454-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRATRICK",
"first_name": "KATHY",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5602",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.matrixcare.com/",
"affiliation": "N",
"endpointDescription": "website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Connect URL",
"address_1": "13880 Shell Point Plaza",
"address_2": "Suite 110",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339083504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
- Jonathan Marc Frantz, MD
- Kristina Elaina Frantz
- Douglas Matthew Franz, M.D.
- Spencer Franzoi
- Cedgrekia Frasier
- Dianna Nichol Fray, RBT
- Celeste V Frazier, CNM
- Fred a Liebowitz MD PA (Headache and Pain Management Center of SWFL)
- Fred a Liebowitz MD PA (Headache & Pain Management of SWFL)
- Fred J Burford, II DO, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.