Endya Lanisse Frye, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2019-00639 Issued in NC

Practice address

510 N Elam Ave Ste 202
Greensboro, NC 27403-1142

Phone

(336) 299-3183

Fax

(336) 299-1762

NPI assigned

May 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1932555018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031177",
            "telephone_number": "336-299-3183",
            "fax_number": "336-299-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031142",
            "telephone_number": "336-299-3183",
            "fax_number": "336-299-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "ENDYA",
        "middle_name": "LANISSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "218108",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2019-00639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Doane Frosheiser
• Ann Hudson Fry, AU.D.
• Katlyn Elizabeth Fry, MS, CCC-SLP
• Stephen Ashley Fry, M.D.
• Cortney Frye, SLP
• Emil J Frymark, AU.D., CCC-A
• Shannon Lee Frymark, AU.D.
• FS I Services, PLLC
• Bryan H Fujimoto, LCSWA
• Kim Mika Fujinaga, M.D.

• Pediatrics Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.