Individual provider Active NPI

Beatrice B. Frizane, LPN

  • Licensed Practical Nurse
  • Gilbert, AZ
National Provider Identifier
1093842445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP040167 Issued in AZ
Practice address
4333 S Deanza Blvd
Gilbert, AZ 85297-8973
Phone
(480) 279-6915
Fax
(480) 279-6905
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP040167 AZ Primary

Addresses

Primary practice location

4333 S Deanza Blvd
Gilbert, AZ 85297-8973

Mailing address

4333 S Deanza Blvd
Gilbert, AZ 85297-8973
Phone (480) 279-6915

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

LicenseStateTypeSpecialty
LP040167AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093842445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 S DEANZA BLVD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978973",
            "telephone_number": "480-279-6915",
            "fax_number": "480-279-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 S DEANZA BLVD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978973",
            "telephone_number": "480-279-6915",
            "fax_number": "480-279-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZANE",
        "first_name": "BEATRICE",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP040167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.