Individual provider Active NPI

Kathleen S Fries, CNM

  • Advanced Practice Midwife
  • Findlay, OH
National Provider Identifier
1861481194
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NM00737 Issued in OH
Practice address
1917 S Main St
Findlay, OH 45840-1208
Phone
(419) 420-0904
Fax
(419) 420-1893
NPI assigned
Oct 19, 2005
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NM00737 OH Primary

Addresses

Primary practice location

1917 S Main St
Findlay, OH 45840-1208

Mailing address

1917 S Main St
Findlay, OH 45840-1208
Phone (419) 420-0904

Other identifiers 1

IdentifierTypeStateIssuer
2011156MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061012000676 OH Practitioner - Certified Nurse Midwife (CNM) 1355347469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NM00737OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Professional Services LTD CurrentSince Mar 1, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

455 W 4th St
Ste 100
Fostoria, OH 44830
Phone (419) 436-6680

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

Organizations & group practices 2

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1861481194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401208",
            "telephone_number": "419-420-0904",
            "fax_number": "419-420-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401208",
            "telephone_number": "419-420-0904",
            "fax_number": "419-420-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "NM00737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.