Individual provider Active NPI

Katharina Maria Friedly, RN

  • Nutrition Support Registered Nurse
  • Dayton, OH
National Provider Identifier
1679599831
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support Registered NurseTaxonomy code 163WN1003X
License
RN. 215290 Issued in OH
Practice address
2630 Pinegrove Dr
Dayton, OH 45449-3347
Phone
(937) 434-8807
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X RN. 215290 OH
Home Health Registered Nurse 163WH0200X RN. 215290 OH
Nutrition Support Registered Nurse 163WN1003X RN. 215290 OH Primary
Pediatric Registered Nurse 163WP0200X RN. 215290 OH
Psychiatric/Mental Health Registered Nurse 163WP0808X RN. 215290 OH
Ophthalmic Registered Nurse 163WX1100X RN. 215290 OH

Addresses

Primary practice location

2630 Pinegrove Dr
Dayton, OH 45449-3347

Mailing address

2630 Pinegrove Dr
Dayton, OH 45449-3347
Phone (937) 434-8807

Other identifiers 1

IdentifierTypeStateIssuer
226-3723MedicaidOH

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
RN. 215290OHMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679599831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 PINEGROVE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493347",
            "telephone_number": "937-434-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 PINEGROVE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493347",
            "telephone_number": "937-434-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLY",
        "first_name": "KATHARINA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "OH",
            "license": "RN. 215290",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN. 215290",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "OH",
            "license": "RN. 215290",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "RN. 215290",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN. 215290",
            "primary": false
        },
        {
            "code": "163WX1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ophthalmic",
            "state": "OH",
            "license": "RN. 215290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226-3723",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.