Active NPI
Amy Fry, MSN, APRN, AGACNP-BC
- Acute Care Nurse Practitioner
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP143824
- Practice address
- 1650 W College St
Grapevine, TX 76051-3565 - Phone
- (817) 388-3440
- Fax
- (817) 388-3441
- NPI assigned
- Dec 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP143824 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | AP143824 | TX | Primary |
Addresses
Primary practice location
1650 W College St
Grapevine, TX 76051-3565
Mailing address
3113 Hollow Valley Dr
Fort Worth, TX 76244-5536
Phone (817) 851-4777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1180 Seton Pkwy
Suite 450
Kyle, TX 78640-6178
Phone (512) 504-0860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP143824 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523
1650 W College St
Ste 150
Grapevine, TX 76051
Phone (817) 338-3440
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1180 Seton Pkwy
Ste 450
Kyle, TX 78640
Phone (512) 504-0860
301 Seton Pkwy
Ste 302
Round Rock, TX 78665
Phone (512) 324-4812
Interoperability endpoints
- afry590851@direct.sw.org
- amy.fry.1@8363.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575676800000",
"number": "1407493570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 HOLLOW VALLEY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445536",
"telephone_number": "817-851-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 W COLLEGE ST",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513565",
"telephone_number": "817-388-3440",
"fax_number": "817-388-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "AMY",
"credential": "MSN, APRN, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-07",
"last_updated": "2019-12-07",
"certification_date": "2019-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP143824",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP143824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.