Active NPI
Jeffrey Frazier, MSM
- Social Worker
- Gainesville, FL
National Provider Identifier
1124572672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3001 - Phone
- (352) 273-8555
- Fax
- (352) 294-8088
- NPI assigned
- Aug 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3001
Mailing address
PO Box 13833
Philadelphia, PA 19101-3833
Phone (352) 273-8555
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": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1124572672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13833",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191013833",
"telephone_number": "352-273-8555",
"fax_number": "352-294-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103001",
"telephone_number": "352-273-8555",
"fax_number": "352-294-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "JEFFREY",
"credential": "MSM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.