KASSIE SHAW FRETTO DO
NPI 1487349130
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Kassie Fretto's NPI number?

The NPI number for Kassie Fretto is 1487349130. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Kassie Fretto's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kassie Fretto was last updated on April 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2023PECOS Enrolled

1441 N 12TH ST FL 3, PHOENIX, AZ 85006(602) 521-5700(602) 521-5701 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2026, Apr 10, 2023 (2 updates tracked since 2023).

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About Kassie Shaw Fretto Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSIE SHAW FRETTO DO (NPI 1487349130) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487349130

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKASSIE SHAW FRETTOCredential: DO

Location Address1441 N 12TH ST FL 3Phoenix, AZ 85006-2837

Mailing Address1441 N 12th St Fl 3Phoenix, AZ 85006-2837 · (602) 521-5700 · Fax (602) 521-5701

Phone(602) 521-5700

Fax(602) 521-5701

Sole ProprietorYes

Enumeration DateApril 10, 2023

Last NPPES UpdateApril 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1487349130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1441 N 12TH ST FL 3, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassie Shaw Fretto Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM H HALL M.D.

Urology