Fraiche Aesthetics Medspa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FRAICHE AESTHETICS MEDSPA LLC

Practice address

19046 Bruce B Downs Blvd
B6 #749
Tampa, FL 33647

Phone

(813) 892-4667

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nicola Archie, DNP, FNP-C

Title

Owner

Phone

(813) 892-4667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1083221485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 SPINDLE TREE LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788641",
            "telephone_number": "813-892-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19046 BRUCE B DOWNS BLVD",
            "address_2": "B6 #749",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-892-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAICHE AESTHETICS MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-892-4667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarily Fraga Perez
• Armando Fragale
• Paul Anthony Frago II, PHYSICIAN ASSISTANT
• Darisbel Fragoso Gomez
• Ana Maria Fraguada
• Jessica Frakes
• Liana Fraleigh
• Carol Marie Fraley, MD
• Aubrey Francavilla, LCSW
• John Naylor France, DDS

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.