Individual provider Active NPI

Leslie Anne Frodema, NP

  • Adult Health Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1083451223
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN175976 Issued in MA
Practice address
571 Main St FL 1
Weymouth, MA 02190-1843
Phone
(617) 773-9198
Fax
(617) 769-9952
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN175976 MA Primary

Addresses

Primary practice location

571 Main St FL 1
Weymouth, MA 02190-1843

Mailing address

571 Main St FL 1
Weymouth, MA 02190-1843
Phone (617) 773-9198

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN175976MAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: leslie.frodema.1@32432.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1083451223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 MAIN ST FL 1",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901843",
            "telephone_number": "617-773-9198",
            "fax_number": "617-769-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 MAIN ST FL 1",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901843",
            "telephone_number": "617-773-9198",
            "fax_number": "617-769-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRODEMA",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN175976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.