Individual provider Active NPI

Peggy J. Frieden, RN, RNFA

  • Registered Nurse First Assistant
  • Dallas, TX
National Provider Identifier
1619048857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
242700 Issued in TX
Practice address
14406 Overview Cir
Dallas, TX 75254-2851
Phone
(214) 697-8144
Fax
(972) 991-8760
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 242700 TX Primary

Addresses

Primary practice location

14406 Overview Cir
Dallas, TX 75254-2851

Mailing address

14406 Overview Cir
Dallas, TX 75254-2851
Phone (214) 697-8144

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

LicenseStateTypeSpecialty
242700TXMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619048857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14406 OVERVIEW CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542851",
            "telephone_number": "214-697-8144",
            "fax_number": "972-991-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14406 OVERVIEW CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542851",
            "telephone_number": "214-697-8144",
            "fax_number": "972-991-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEN",
        "first_name": "PEGGY",
        "middle_name": "J.",
        "credential": "RN, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "242700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.