Chrystal Nicole Frierson

Primary specialty

Respite CareTaxonomy code 385H00000X

License

NONE Issued in NJ

Practice address

213 Vista CT
Sicklerville, NJ 08081-2907

Phone

(856) 366-0159

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1316517402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 VISTA COURT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-366-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 VISTA CT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812907",
            "telephone_number": "856-366-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIERSON",
        "first_name": "CHRYSTAL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NJ",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecors.sanford.html",
            "affiliation": "N",
            "address_1": "213 Vista Ct",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080812907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecors.sanford.html",
            "affiliation": "N",
            "address_1": "213 Vista Ct",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080812907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fresenius Medical Care Camden County, LLC (Fresenius Medical Care Winslow Township)
• Friends of Cyrus II
• Friends of Cyrus II
• Friends of Cyrus II
• Friends of Cyrus II
• Kiley Ann Fulton, OTD, OTR/L
• Dawon Funches
• Casey Furca
• Heather Marie Gallagher, PHARMD
• Eric Gates, O.D.

• Respite Care in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Respite Care in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.