Active NPI
Carolyn Lisa Fry, ACNP-BC,FNP-C, RNFA
- Acute Care Nurse Practitioner
- Greenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1000942
- Practice address
- 4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856 - Phone
- (903) 408-7768
- Fax
- (903) 408-7769
- NPI assigned
- Jul 1, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 741285 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1000942 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 1000942 | TX | Primary |
Addresses
Primary practice location
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Mailing address
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Phone (903) 408-7768
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4215 Joe Ramsey Blvd
Greenville, TX 75401-7852
Phone (903) 408-5112
Hospital & facility affiliations
- Hunt Regional Medical Center
- Baylor Scott and White Medical Center Lake Pointe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741285 | TX | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Em-I Medical Services, PA | Past | Accepting new patients |
Locations
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470
4211 Joe Ramsey Blvd E
Ste 108
Greenville, TX 75401
Phone (469) 800-3400
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
Interoperability endpoints
- carolyn.fry@txo.ikm.direct-ci.com
Organizations & group practices 4
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Fort Worth, TX
- NPI 1033386578
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
-
- Internal Medicine Physician
- Greenville, TX
- NPI 1699981720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1700403276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 JOE RAMSEY BLVD E STE 100",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017856",
"telephone_number": "903-408-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 JOE RAMSEY BLVD E STE 100",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017856",
"telephone_number": "903-408-7768",
"fax_number": "903-408-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "CAROLYN",
"middle_name": "LISA",
"name_prefix": "Mrs.",
"credential": "ACNP-BC,FNP-C, RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TX",
"license": "741285",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1000942",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1000942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.