Individual provider Active NPI

Kasey Ann Frye, FNP, DC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1609058908
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127028 Issued in TX
Practice address
303 E Quincy St Ste 102
San Antonio, TX 78215-1922
Phone
(210) 229-7242
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5449 TX
Family Nurse Practitioner 363LF0000X AP127028 TX Primary

Addresses

Primary practice location

303 E Quincy St Ste 102
San Antonio, TX 78215-1922

Mailing address

17655 Henderson Pass
816
San Antonio, TX 78232-1502
Phone (956) 763-7767

Other identifiers 1

IdentifierTypeStateIssuer
001819401MedicaidTX

Other names 1

  • Kayce Ann Frye Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608000998 TX Practitioner - Nurse Practitioner 5294796512 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jan 12, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jan 12, 2023 Accepting new patients
Vidamor Medical CurrentSince Oct 1, 2020 Accepting new patients
Mission City Chiropractic Chiropractor CurrentSince Mar 24, 2015 Accepting new patients
Greater Sa House Calls, LLC Family CurrentSince Feb 7, 2018 Accepting new patients
Kayce a Frye Chiropractor Past Accepting new patients

Locations

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

303 E Quincy St
Ste 102
San Antonio, TX 78215
Phone (210) 224-2320

17219 Oconnor Rd
Ste 101
San Antonio, TX 78247
Phone (210) 259-8618

14625 Huebner Rd
San Antonio, TX 78230

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

5309 Wurzbach Rd
Ste 200-10
San Antonio, TX 78238
Phone (210) 647-4671

Interoperability endpoints

  • Direct secure messaging: kasey.frye@commsa.eclinicaldirectplus.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1609058908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17655 HENDERSON PASS",
            "address_2": "816",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321502",
            "telephone_number": "956-763-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E QUINCY ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151922",
            "telephone_number": "210-229-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "KASEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "FNP, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5449",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001819401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYCE",
            "last_name": "FRYE",
            "middle_name": "ANN",
            "credential": "FNP, DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.