Krista Kay Fritson, PSYD

Individual provider Active NPI Clinical Psychologist · Kearney, NE

NPI 1871695239 · NPPES record last updated Sep 18, 2023

Key facts

NPI
1871695239
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
NE481 (NE)
Practice address
906 E 25TH St
Kearney, NE 68847-4603
Phone
(308) 440-9303
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200327002905 NE Practitioner - Clinical Psychologist 2365677259 Practice locations: Kearney, NE

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
NE481NEMDClinical Psychologist
481NEMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NE481 NE Yes

Addresses

Primary practice location

906 E 25TH St
Kearney, NE 68847-4603

Mailing address

PO Box 846
Kearney, NE 68848
Phone (308) 865-8247

Other providers in Kearney, NE

All providers in Kearney, NE · Clinical Psychologist in Nebraska

Sources for this page

Verify at the official NPI Registry.