Active NPI
Roxanne Alexis Fries, MD
- Psychiatry Physician
- Spokane, WA
National Provider Identifier
1689135683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 61279462
- Practice address
- 624 E Front Ave
Spokane, WA 99202-2139 - Phone
- (509) 626-9900
- NPI assigned
- Mar 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 61279462 | WA | Primary |
Addresses
Primary practice location
624 E Front Ave
Spokane, WA 99202-2139
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61279462 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Department of Social Dept of SHS Div of Instns | Psychiatry | Current | Accepting new patients |
| The Association of Chrmc and University Physicians | Psychiatry | Current | Accepting new patients |
| Association of CHMC and University Physicians | Current | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900
Interoperability endpoints
- rfries192690@direct.seattlechildrens.org
Organizations & group practices 5
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.
-
- Psychiatric Hospital
- Medical Lake, WA
- NPI 1467440602
Psychiatry
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Psychiatry
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Rural Health Clinic/Center
- Chewelah, WA
- NPI 1639892672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1689135683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E FRONT AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022139",
"telephone_number": "509-626-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "ROXANNE",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "61279462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.