Individual provider Active NPI

Denise Frindt, AGNP-C

  • Adult Health Nurse Practitioner
  • Chardon, OH
National Provider Identifier
1689055634
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.17279-NP Issued in OH
Practice address
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone
(440) 285-4999
NPI assigned
Jun 16, 2015
Last updated
Mar 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.17279-NP OH Primary
Gerontology Nurse Practitioner 363LG0600X COA.17279-NP OH

Addresses

Primary practice location

13207 Ravenna Rd
Chardon, OH 44024-7032

Mailing address

13170 Ravenna Rd
Ste 108
Chardon, OH 44024-7022
Phone (440) 409-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150923003379 OH Practitioner - Nurse Practitioner 5496062473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addiction Outreach Clinic LTDGroup PAC ID 5294183893, 11 clinicians

Practice addresses (Care Compare)

819 McKay CT
Suite 102
Boardman, OH 44512-5771
Phone (330) 259-4849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.17279-NPOHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Ahuja Medical Center CurrentSince Aug 1, 2015 Accepting new patients
Addiction Outreach Clinic LTD CurrentSince Feb 14, 2024 Accepting new patients
Lake Hospital System Inc CurrentSince Nov 21, 2017 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
Lake Hospital System, Inc CurrentSince Nov 21, 2017 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Aug 1, 2015 Accepting new patients

Locations

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

7590 Auburn Rd
Ste 214
Concord Township, OH 44077
Phone (844) 746-8537

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

5342 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-2200

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

819 McKay Ct
Ste 102
Youngstown, OH 44512
Phone (330) 259-4849

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1689055634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 RAVENNA RD",
            "address_2": "STE 108",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247022",
            "telephone_number": "440-409-7055",
            "fax_number": "440-279-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRINDT",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.17279-NP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.17279-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.