Active NPI
Geraldine Fried, C.R.N.P.
- Family Nurse Practitioner
- Paoli, PA
National Provider Identifier
1801277488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP011576
- Practice address
- 4 Industrial Blvd
Suite 130
Paoli, PA 19301-1605 - Phone
- (610) 994-1136
- NPI assigned
- Jun 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP000957C | PA | |
| Family Nurse Practitioner | 363LF0000X | SP011576 | PA | Primary |
Addresses
Primary practice location
4 Industrial Blvd
Suite 130
Paoli, PA 19301-1605
Mailing address
4 Industrial Blvd
Suite 130
Paoli, PA 19301-1605
Phone (610) 994-1136
Other names 1
- Geraldine Brown Fried
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP000957C | PA | MD | Adult Health Nurse Practitioner |
| SP011576 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1801277488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 INDUSTRIAL BLVD",
"address_2": "SUITE 130",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011605",
"telephone_number": "610-994-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 INDUSTRIAL BLVD",
"address_2": "SUITE 130",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011605",
"telephone_number": "610-994-1136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "GERALDINE",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP000957C",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GERALDINE",
"last_name": "FRIED",
"middle_name": "BROWN",
"credential": "C.R.N.P.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.