Individual provider Active NPI

Kerri Leigh Frideres, OTD

  • Occupational Therapist
  • Britt, IA
National Provider Identifier
1417340779
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
088856 Issued in IA
Practice address
532 1St St NW
Britt, IA 50423-1227
Phone
(641) 843-5500
NPI assigned
Mar 11, 2015
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 088856 IA Primary

Addresses

Primary practice location

532 1St St NW
Britt, IA 50423-1227

Mailing address

532 1St St NW
Britt, IA 50423-1227
Phone (641) 843-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@hcmhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625002074 IA Practitioner - Occupational Therapist in Private Practice 6103143334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mason City Clinic PC Occupational Therapist CurrentSince Jun 10, 2019 Accepting new patients

Locations

532 1st St NW
Britt, IA 50423
Phone (641) 843-4403

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1417340779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 1ST ST NW",
            "city": "BRITT",
            "state": "IA",
            "postal_code": "504231227",
            "telephone_number": "641-843-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 1ST ST NW",
            "city": "BRITT",
            "state": "IA",
            "postal_code": "504231227",
            "telephone_number": "641-843-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDERES",
        "first_name": "KERRI",
        "middle_name": "LEIGH",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-08-12",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "088856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@hcmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Hancock County Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "532 1st St NW",
            "city": "Britt",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504231227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Britt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.