Kellie Marie Fries, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018022898 Issued in MO

Practice address

1914 Swift Ave
North Kansas City, MO 64116-3447

Phone

(816) 691-4156

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1508341207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 NW 38TH ST APT 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164554",
            "telephone_number": "660-635-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 SWIFT AVE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163447",
            "telephone_number": "816-691-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018022898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Foiles
• Diane Marie Foster, CRNA
• Tia M Francisco, CRNA
• Benedict Ivan Franco
• Monica A Frieden, CRNA
• Paul Frydenlund
• Denny Fugate, PHARMD.
• Lisa Fujima, D.O.
• Kathleen Fullerton, FNP-C
• Melanie Jean Fullmer, APRN

• Family Nurse Practitioner in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.