Active NPI
Destiny Yvonne Frazier
- Family Nurse Practitioner
- Jacksonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 218640
- Practice address
- 1012 Puritan Dr
Jacksonville, AR 72076-6081 - Phone
- (501) 313-8119
- NPI assigned
- Jan 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 218640 | AR | Primary |
Addresses
Primary practice location
1012 Puritan Dr
Jacksonville, AR 72076-6081
Mailing address
1012 Puritan Dr
Jacksonville, AR 72076-6081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075
20 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone (501) 679-8970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218640 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Team of Arkansas Physicians, LLC | Current | Accepting new patients | |
| Urgent Team of Arkansas Physicians, LLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current | Accepting new patients |
Locations
49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570
824 Military Rd
Benton, AR 72015
Phone (501) 574-3019
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
1813 T P White Dr
Jacksonville, AR 72076
Phone (501) 241-4510
511 W Main St
Russellville, AR 72801
Phone (479) 223-5130
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
Interoperability endpoints
- destiny.frazier.1@29938.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Weiner, AR
- NPI 1114578929
-
- Rural Health Clinic/Center
- Searcy, AR
- NPI 1992041370
-
- Clinic/Center
- Jonesboro, AR
- NPI 1447952346
-
- Rural Health Clinic/Center
- Marshall, AR
- NPI 1609391911
-
- Rural Health Clinic/Center
- Batesville, AR
- NPI 1326730466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1164175303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 PURITAN DR",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720766081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 PURITAN DR",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720766081",
"telephone_number": "501-313-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "DESTINY",
"middle_name": "YVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "218640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.