Erien Wynne Fryer

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

190 Hatcher LN Ste B
Clarksville, TN 37043-5989

Phone

(931) 546-9747

NPI assigned

Aug 28, 2019

Last updated

Nov 27, 2023By 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

Other identifiers 1

Electronic endpoints 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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376191783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HATCHER LN STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435989",
            "telephone_number": "931-546-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HATCHER LN STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435989",
            "telephone_number": "931-546-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYER",
        "first_name": "ERIEN",
        "middle_name": "WYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS ADMINISTRATION",
            "identifier": "1326013566",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clarksville",
            "affiliation": "Y",
            "endpointDescription": "Medical Direct Care the clinical setting in which TaijiFit will be presented",
            "affiliationName": "Medical Direct Care, PLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "190 Hatcher Ln Ste B",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370435989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethany Suzanne Froboese, DPT
• Anthony Carl Fromm Jr.
• Melissa Frost, MS, LMFT
• FRPG, LLC
• Amanda Jean Fryer, FNP-C
• Gregory Marcel Fryer, M.D.
• Full Spectrum Pediatric Therapy
• Full Spectrum Pediatric Therapy, Inc.
• Fuller Rehabilitation and Consulting Services Inc. (Independent Living Aids)
• Danielle Fuller, R.N.

• Other Specialist/Technologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Other Specialist/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.