Individual provider Active NPI

Brooke Fries, RN

  • Infusion Therapy Registered Nurse
  • Savannah, GA
National Provider Identifier
1932759008
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
RN279883 Issued in GA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN279883GAMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nightingale Infusion Inc. CurrentSince Jun 21, 2022 Accepting new patients
Nightingale Infusion Inc. CurrentSince Apr 1, 2020 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.

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.

Verify at the official NPI Registry.