Individual provider Active NPI

Virginia Laing Frazer, N.D., L.M.

  • Naturopath
  • Kennewick, WA
National Provider Identifier
1104918234
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
252-05-677 Issued in WA
Practice address
315 W 1St Ave
Kennewick, WA 99336-3928
Phone
(509) 586-9691
Fax
(509) 582-3661
NPI assigned
Sep 28, 2006
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 252-05-677 WA Primary
Midwife 176B00000X 252-13-160 WA

Addresses

Primary practice location

315 W 1St Ave
Kennewick, WA 99336-3928

Mailing address

315 W 1St Ave
Kennewick, WA 99336-3928
Phone (509) 586-9691

Other identifiers 2

IdentifierTypeStateIssuer
252-13-160OtherWALM LICENSE NUMBER
252-05-677OtherWAND LICENSE NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1104918234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 1ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363928",
            "telephone_number": "509-586-9691",
            "fax_number": "509-582-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 1ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363928",
            "telephone_number": "509-586-9691",
            "fax_number": "509-582-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "VIRGINIA",
        "middle_name": "LAING",
        "name_prefix": "Dr.",
        "credential": "N.D., L.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "252-05-677",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "252-13-160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LM LICENSE NUMBER",
            "identifier": "252-13-160",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND LICENSE NUMBER",
            "identifier": "252-05-677",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.