Individual provider Active NPI

Haley Judd Frazier

  • Psychiatric/Mental Health Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1033898937
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5018333 Issued in NC
Practice address
119 Kandemor LN
Rocky Mount, NC 27804-3212
Phone
(252) 316-9145
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5018333 NC
Nurse Practitioner 363L00000X 5018333 NC
Family Nurse Practitioner 363LF0000X 5018333 NC
Pediatric Nurse Practitioner 363LP0200X 5018333 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5018333 NC Primary

Addresses

Primary practice location

119 Kandemor LN
Rocky Mount, NC 27804-3212

Mailing address

119 Kandemor LN
Rocky Mount, NC 27804-3212
Phone (252) 316-9145

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020001893 NC Practitioner - Nurse Practitioner 3476909888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care and Urgent Care of Nashville, PLLCGroup PAC ID 4880069533, 5 clinicians

Practice addresses (Care Compare)

107 W Nashville Dr
Nashville, NC 27856-1289
Phone (252) 822-3583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5018333NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care and Urgent Care of Nashville, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 7, 2026 Accepting new patients

Locations

107 W Nashville Dr
Nashville, NC 27856
Phone (252) 822-3583

107 W Nashville Dr
Ste A
Nashville, NC 27856
Phone (252) 676-8285

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDABDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1033898937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 KANDEMOR LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043212",
            "telephone_number": "252-316-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 KANDEMOR LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043212",
            "telephone_number": "252-316-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "HALEY",
        "middle_name": "JUDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5018333",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018333",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5018333",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.