Active NPI
Victoria Ann Fry
- Physician Assistant
- Knoxville, IL
National Provider Identifier
1407779481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 904 E Main St
Knoxville, IL 61448-1539 - Phone
- (309) 289-2335
- NPI assigned
- Aug 4, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IL | Primary |
Addresses
Primary practice location
904 E Main St
Knoxville, IL 61448-1539
Mailing address
904 E Main St
Knoxville, IL 61448-1539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1407779481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E MAIN ST",
"city": "KNOXVILLE",
"state": "IL",
"postal_code": "614481539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E MAIN ST",
"city": "KNOXVILLE",
"state": "IL",
"postal_code": "614481539",
"telephone_number": "309-289-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "VICTORIA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.