Shaneka Nicole Fryer

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

26 Katherine St
Struthers, OH 44471-2101

Phone

(234) 806-7890

NPI assigned

Aug 14, 2017

Last updated

Sep 1, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1366968109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BELLAIR CT",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461084",
            "telephone_number": "330-553-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 KATHERINE ST",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444712101",
            "telephone_number": "234-806-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYER",
        "first_name": "SHANEKA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213833",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance Robert Ferkula, D.C.
• Dominic Ficeti, MS ED, LPCC-S
• Joshuannie Flores
• Genevieve Fonce
• Nicholas Ardel Ford Sr.
• Anthony Francis Fuller, PHARMD.
• Sherry Lynn Fusco
• Daniel Richard Gage
• Nichole C Gagnon, MSW, LSW
• Jessica Geiger

• Community/Behavioral Health Agency in Struthers, OH
• Providers in Struthers, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.