Active NPI
Elizabeth Frink
- Licensed Practical Nurse
- Phoenix, NY
National Provider Identifier
1043669773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 287329-1
- Practice address
- 107 County Route 57 Unit B
Phoenix, NY 13135-3309 - Phone
- (315) 857-7633
- NPI assigned
- Jun 3, 2016
- Last updated
- Jun 6, 2016
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 287329-1 | NY | Primary |
Addresses
Primary practice location
107 County Route 57 Unit B
Phoenix, NY 13135-3309
Mailing address
107 County Route 57 Unit B
Phoenix, NY 13135-3309
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287329-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1043669773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 COUNTY ROUTE 57 UNIT B",
"city": "PHOENIX",
"state": "NY",
"postal_code": "131353309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 COUNTY ROUTE 57 UNIT B",
"city": "PHOENIX",
"state": "NY",
"postal_code": "131353309",
"telephone_number": "315-857-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRINK",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "287329-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.