Individual provider Active NPI

Corinne Elizabeth Fribley, M.D.

  • Child & Adolescent Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1285696336
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
L1047 Issued in TX
Practice address
7557 Rambler Rd Ste 812
Dallas, TX 75231-2366
Phone
(469) 364-3134
Fax
(469) 680-1599
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X L1047 TX Primary

Addresses

Primary practice location

7557 Rambler Rd Ste 812
Dallas, TX 75231-2366

Mailing address

7557 Rambler Road #812
Dallas, TX 75231
Phone (469) 364-3134

Other practice location 1

10034 Hedgeway Dr
Dallas, TX 75229-6250
Phone (469) 364-3134

Other identifiers 1

IdentifierTypeStateIssuer
168395501MedicaidTX

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1285696336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER ROAD #812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "469-364-3134",
            "fax_number": "469-680-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD STE 812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312366",
            "telephone_number": "469-364-3134",
            "fax_number": "469-680-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10034 Hedgeway Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752296250",
            "country_code": "US",
            "telephone_number": "469-364-3134",
            "fax_number": "469-680-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIBLEY",
        "first_name": "CORINNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168395501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.