Individual provider Active NPI

Nancy M Fry, PH.D.

  • Psychologist
  • Lawrence, KS
National Provider Identifier
1811438112
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1967 Issued in KS
Practice address
3510 Clinton PL
Suite 320
Lawrence, KS 66047-2195
Phone
(785) 843-2429
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1967 KS Primary

Addresses

Primary practice location

3510 Clinton PL
Suite 320
Lawrence, KS 66047-2195

Mailing address

5302 W 99TH Ter
Overland Park, KS 66207-3110
Phone (913) 226-8171

Other names 1

  • Nancy A Morgan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403001600 KS Practitioner - Clinical Psychologist 7214212307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1201 Wakarusa Dr BLDG E
Suite E2 103
Lawrence, KS 66049-4722
Phone (785) 434-3479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1967KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nancy Fry, LLC Psychologist CurrentSince Jul 2, 2018 Accepting new patients

Locations

1201 Wakarusa Dr
Ste E2
Lawrence, KS 66049
Phone (785) 434-3479

Organizations & group practices 1

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1811438112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 W 99TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073110",
            "telephone_number": "913-226-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 CLINTON PL",
            "address_2": "SUITE 320",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472195",
            "telephone_number": "785-843-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MORGAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.