Individual provider Active NPI

Nikki S. Fryer, MSW, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1407140296
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011015553 Issued in MO
Practice address
2000 NE Vivion Rd Ste 100
Kansas City, MO 64118-6127
Phone
(816) 453-1314
Fax
(816) 453-3434
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2011015553 MO Primary

Addresses

Primary practice location

2000 NE Vivion Rd Ste 100
Kansas City, MO 64118-6127

Mailing address

9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655

Other practice location 1

1103 S US Highway 169
Smithville, MO 64089-9322
Phone (816) 691-5340

Other practice location 2

6450 N Chatham Ave
Kansas City, MO 64151-2403
Phone (816) 741-5542

Other practice location 3

10161 N Ambassador Dr
Kansas City, MO 64153-1366
Phone (816) 691-3091

Other practice location 4

2700 Clay Edwards Dr Ste 400
North Kansas City, MO 64116-3270
Phone (816) 421-4240

Other practice location 5

1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (816) 246-4465

Other practice location 6

2600 Running Horse Rd.
Platte City, MO 64079
Phone (816) 858-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180123003529 MO Practitioner - Clinical Social Worker 8426317256 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Grace Ministries, Inc Clinical CurrentSince Jul 6, 2022 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Jan 3, 2022 Accepting new patients
Meritas Health Corporation CurrentSince Jan 3, 2022 Accepting new patients
Rediscover CurrentSince Jan 2, 2018 Accepting new patients
Rediscover CurrentSince Jan 2, 2018 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

10161 N Ambassador Dr
Kansas City, MO 64153
Phone (816) 464-2333

6450 N Chatham Ave
Kansas City, MO 64151
Phone (816) 740-5542

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000

2000 NE Vivion Rd
Ste 100
Kansas City, MO 64118
Phone (816) 453-1314

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

1272 NE Windsor Dr
Lees Summit, MO 64086
Phone (816) 246-4465

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

2700 Clay Edwards Dr
Ste 400
North Kansas City, MO 64116
Phone (816) 421-4240

2600 Running Horse Rd
Platte City, MO 64079
Phone (816) 858-2200

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1407140296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NE VIVION RD STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641186127",
            "telephone_number": "816-453-1314",
            "fax_number": "816-453-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 S US Highway 169",
            "address_purpose": "LOCATION",
            "city": "Smithville",
            "state": "MO",
            "postal_code": "640899322",
            "country_code": "US",
            "telephone_number": "816-691-5340",
            "fax_number": "816-346-7054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 N Chatham Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641512403",
            "country_code": "US",
            "telephone_number": "816-741-5542",
            "fax_number": "816-746-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10161 N Ambassador Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641531366",
            "country_code": "US",
            "telephone_number": "816-691-3091",
            "fax_number": "816-346-7014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Clay Edwards Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163270",
            "country_code": "US",
            "telephone_number": "816-421-4240",
            "fax_number": "816-421-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1272 NE Windsor Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640865594",
            "country_code": "US",
            "telephone_number": "816-246-4465",
            "fax_number": "816-524-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Running Horse Rd.",
            "address_purpose": "LOCATION",
            "city": "Platte City",
            "state": "MO",
            "postal_code": "64079",
            "country_code": "US",
            "telephone_number": "816-858-2200",
            "fax_number": "816-858-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYER",
        "first_name": "NIKKI",
        "middle_name": "S.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011015553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.