Madison Rayne Frazee, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160853986 Issued in WA

Practice address

1455 NE Brandi Way Apt Ff201
Pullman, WA 99163-7132

Phone

(425) 418-2388

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1093212540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 NE BRANDI WAY APT FF201",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991637132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NE BRANDI WAY APT FF201",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991637132",
            "telephone_number": "425-418-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 92nd Dr SE",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "982583755",
            "country_code": "US",
            "telephone_number": "425-418-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "MADISON",
        "middle_name": "RAYNE",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160853986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rory Micheal Fletcher, DPT
• Jessica Flood-Haley
• Stephanie M Fosback, MD
• Daniel Fontenot Francik, L.AC. M.A.O.M.
• Melissa Fontenot Francik, R.D.
• Katelyn Frederick
• Michele Fredrickson
• Joshua Owen Free
• Dennis P Fritz, AGENCY AFFILIATED RE
• Michael J Frostad, MD

• Athletic Trainer in Pullman, WA
• Providers in Pullman, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.