Individual provider Active NPI

Patricia Marie Frase, RN

  • Registered Nurse
  • Duluth, MN
National Provider Identifier
1083944920
Registry record updated Dec 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R126140-8 Issued in MN
Practice address
6032 S Pike Lake Rd
Duluth, MN 55811-9629
Phone
(218) 729-8397
Fax
(218) 729-8397
NPI assigned
Dec 27, 2009
Last updated
Dec 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R126140-8 MN Primary

Addresses

Primary practice location

6032 S Pike Lake Rd
Duluth, MN 55811-9629

Mailing address

6032 S Pike Lake Rd
Duluth, MN 55811-9629
Phone (218) 729-8397

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R126140-8MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1261872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261872000000",
    "number": "1083944920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 S PIKE LAKE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558119629",
            "telephone_number": "218-729-8397",
            "fax_number": "218-729-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 S PIKE LAKE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558119629",
            "telephone_number": "218-729-8397",
            "fax_number": "218-729-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASE",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-27",
        "last_updated": "2009-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R126140-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2009; 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.