Rene Ann Frasher, DHSC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA524 Issued in TN

Practice address

1900 E Main St
Danville, IL 61832

Phone

(217) 554-5065

Fax

(217) 554-4842

NPI assigned

Dec 21, 2011

Last updated

May 20, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1184993099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "address_2": "VA ILLIANA HCS",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-554-5065",
            "fax_number": "217-554-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-554-5065",
            "fax_number": "217-554-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASHER",
        "first_name": "RENE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DHSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578093",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Reylla Cristina Freire DO Vale Santos, PHD, LCPC
• Gerald Dewayne French
• Courtney Natalie Rae Frick, DPT
• Michelle Anne Friedlund, BS
• Jacob S Froerer, DDS, MSD

• Physician Assistant in Danville, IL
• Providers in Danville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.