Active NPI
Brooke Fries, RN
- Infusion Therapy Registered Nurse
- Savannah, GA
National Provider Identifier
1932759008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- RN279883
- Practice address
- 9100 White Bluff Rd Ste 603
Savannah, GA 31406-4674 - Phone
- (912) 355-6472
- NPI assigned
- Sep 19, 2019
- Last updated
- Apr 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | RN279883 | GA | Primary |
Addresses
Primary practice location
9100 White Bluff Rd Ste 603
Savannah, GA 31406-4674
Mailing address
9100 White Bluff Rd Ste 301
Savannah, GA 31406-4670
Phone (912) 355-6472
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN279883 | GA | MD | Infusion Therapy Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nightingale Infusion Inc. | Current | Accepting new patients | |
| Nightingale Infusion Inc. | Current | Accepting new patients |
Locations
9100 White Bluff Rd
Ste 301
Savannah, GA 31406
Phone (800) 920-5161
9100 White Bluff Rd
Ste 603
Savannah, GA 31406
Phone (912) 355-6472
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.
-
- Home Health Agency
- Savannah, GA
- NPI 1164152070
-
- Home Infusion Agency
- Savannah, GA
- NPI 1861021156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1932759008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 WHITE BLUFF RD STE 301",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064670",
"telephone_number": "912-355-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 WHITE BLUFF RD STE 603",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064674",
"telephone_number": "912-355-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "BROOKE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-19",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "GA",
"license": "RN279883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.