Individual provider Active NPI

Lari L Frazee, DO

  • Pediatrics Physician
  • Reno, NV
National Provider Identifier
1114254182
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1746 Issued in NV
Practice address
6512 S McCarran Blvd Ste D
Reno, NV 89509-6141
Phone
(775) 900-9987
Fax
(775) 900-9954
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A10977 CA
Pediatrics Physician 208000000X 1746 NV Primary

Addresses

Primary practice location

6512 S McCarran Blvd Ste D
Reno, NV 89509-6141

Mailing address

6512 S McCarran Blvd Ste D
Reno, NV 89509-6141
Phone (775) 900-9987

Other identifiers 1

IdentifierTypeStateIssuer
1114254182MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL office

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10977CAMDPediatrics Physician
1746NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lari L Frazee DO PC Pediatrics Current Accepting new patients
Banner Medical Group Greeley LLC Past Accepting new patients
North Colorado Medical Center Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

6512 S McCarran Blvd
Ste D
Reno, NV 89509
Phone (775) 826-1285

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1114254182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 S MCCARRAN BLVD STE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096141",
            "telephone_number": "775-900-9987",
            "fax_number": "775-900-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 S MCCARRAN BLVD STE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096141",
            "telephone_number": "775-900-9987",
            "fax_number": "775-900-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "LARI",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A10977",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "1746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114254182",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "6512 S McCarran Blvd Ste D",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895096141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.