Desiree Denise Fryer

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1338 E 600 S
New Harmony, UT 84757

Phone

(435) 865-1437

Fax

(435) 865-1439

NPI assigned

Apr 28, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kolob Canyon

  • Psychiatric Residential Treatment Facility
  • New Harmony, UT
  • NPI 1366574568
  NPD (past)
• Triumph Youth Ranch

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • New Harmony, UT
  • NPI 1609015155
  NPD (past)

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1316635196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 W 100 S",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847208103",
            "telephone_number": "435-559-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E 600 S",
            "city": "NEW HARMONY",
            "state": "UT",
            "postal_code": "84757",
            "telephone_number": "435-865-1437",
            "fax_number": "435-865-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYER",
        "first_name": "DESIREE",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalane Christian-Stoker, LMFT
• Darlene Marina Dukes
• Bradley Alan Halverson, D.M.D.
• Kolob Canyon
• Becky Sue Moore, D.M.D.
• Painted Desert Recovery LLC
• The Bridge Health Recovery Center

• Student in an Organized Health Care Education/Training Program in New Harmony, UT
• Providers in New Harmony, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.