Active NPI
Michael Fry, RN
- Critical Care Medicine Registered Nurse
- Reno, NV
National Provider Identifier
1508243296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN74448
- Practice address
- 1555 Sky Valley Dr Apt U201
Reno, NV 89523-8194 - Phone
- (775) 287-2203
- NPI assigned
- May 1, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN74448 | NV | Primary |
Addresses
Primary practice location
1555 Sky Valley Dr Apt U201
Reno, NV 89523-8194
Mailing address
1555 Sky Valley Dr Apt U201
Reno, NV 89523-8194
Phone (775) 287-2203
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN74448 | NV | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1508243296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 SKY VALLEY DR APT U201",
"city": "RENO",
"state": "NV",
"postal_code": "895238194",
"telephone_number": "775-287-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 SKY VALLEY DR APT U201",
"city": "RENO",
"state": "NV",
"postal_code": "895238194",
"telephone_number": "775-287-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "MICHAEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-01",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NV",
"license": "RN74448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.