Yazmin J Frodin

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

P9741 Issued in ID

Practice address

2250 Coronado St
Idaho Falls, ID 83404-7552

Phone

(208) 542-4140

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1124785696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W HALLIDAY ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043440",
            "telephone_number": "208-329-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047552",
            "telephone_number": "208-542-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRODIN",
        "first_name": "YAZMIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ID",
            "license": "P9741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yfrodin@mvhospital.et",
            "affiliation": "Y",
            "affiliationName": "Mountain View Hospital",
            "address_1": "2250 Coronado St",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834047552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa K French, PA-C
• Fresenius Medical Care Idaho Falls, LLC
• Fresenius Medical Care Snake River, LLC
• Connor Daniel Fried, DPT
• Brenda M Fritz, MPT
• Caryl M Frugoli, LCSW LPN EAP
• Full of Life 5580
• Full Spectrum Psychology LLC
• Joshua A Fuller, LPC
• Fullmer Counseling LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.