Active NPI
Lari L Frazee, DO
- Pediatrics Physician
- Reno, NV
National Provider Identifier
1114254182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1746
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114254182 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10977 | CA | MD | Pediatrics Physician |
| 1746 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Reno, NV
- NPI 1972162899
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- Multi-Specialty Clinic/Center
- Johnstown, CO
- NPI 1386817880
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1720004450
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.