Active NPI
Miladys A Friesen, FNP
- Family Nurse Practitioner
- Grand Prairie, TX
National Provider Identifier
1851698948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP114166
- Practice address
- 410 E. Pioneer Pkwy
Suite 300
Grand Prairie, TX 75071 - Phone
- (469) 733-1890
- Fax
- (469) 733-1894
- NPI assigned
- Feb 25, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 532229 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP114166 | TX | Primary |
Addresses
Primary practice location
410 E. Pioneer Pkwy
Suite 300
Grand Prairie, TX 75071
Mailing address
222 W. Las Colinas Blvd
Suite 2000
Irving, TX 75039
Phone (972) 957-3000
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 532229 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1851698948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W. LAS COLINAS BLVD",
"address_2": "SUITE 2000",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "972-957-3000",
"fax_number": "469-733-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E. PIONEER PKWY",
"address_2": "SUITE 300",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75071",
"telephone_number": "469-733-1890",
"fax_number": "469-733-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESEN",
"first_name": "MILADYS",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "532229",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP114166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.