Active NPI
Daphne L. Fry, ARNP
- Family Nurse Practitioner
- Shawnee Mission, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 45196
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 676-2679
- NPI assigned
- Mar 1, 2006
- Last updated
- Nov 24, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 45196 | KS | Primary |
| Registered Nurse | 163W00000X | 1484913081 | KS |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
PO Box 411895
Kansas City, MO 64141-1895
Phone (913) 632-2230
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100405840A | Medicaid | KS | |
| 30316011 | Other | KS | BCBS KC |
| 429070600 | Medicaid | MO | |
| 500029863 | Other | KS | RR MEDICARE |
Other names 1
- Daphne L. Threinen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Baylor College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4550 W 109TH St
Suite 210
Overland Park, KS 66211-1351
Phone (913) 287-5678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1484913081 | KS | MD | Registered Nurse |
| 45796 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Hospice of Kansas LLC | Current | Accepting new patients | |
| Care Alternatives of Missouri, LLC | Current | Accepting new patients | |
| Midwest Anesthesia Associates, PA | Registered Nurse | Current | Accepting new patients |
| Care Alternatives of Missouri, LLC | Current | Accepting new patients |
Locations
11150 Thompson Ave
Lenexa, KS 66219
Phone (913) 850-7500
4550 W 109th St
Ste 210
Overland Park, KS 66211
Phone (913) 287-5678
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068
Organizations & group practices 4
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.
-
dba Ascend Hospice
- Community Based Hospice Care Agency
- Overland Park, KS
- NPI 1609915164
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Registered Nurse
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lenexa, KS
- NPI 1134836570
-
dba Ascend Hospice
- Community Based Hospice Care Agency
- Lee's Summit, MO
- NPI 1285696013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1487621264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411895",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411895",
"telephone_number": "913-632-2230",
"fax_number": "913-632-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-676-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "DAPHNE",
"middle_name": "L.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "45196",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "1484913081",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100405840A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "30316011",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "429070600",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500029863",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAPHNE",
"last_name": "THREINEN",
"middle_name": "L.",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.