Active NPI
Jessica Nicole Frazier, RN
- Infusion Therapy Registered Nurse
- Windsor Mill, MD
National Provider Identifier
1205572948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- R212931
- Practice address
- 13 Ralden CT
Windsor Mill, MD 21244-1461 - Phone
- (800) 784-2464
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R212931 | MD | |
| Home Health Registered Nurse | 163WH0200X | R212931 | MD | |
| Infusion Therapy Registered Nurse | 163WI0500X | R212931 | MD | Primary |
Addresses
Primary practice location
13 Ralden CT
Windsor Mill, MD 21244-1461
Mailing address
13 Ralden CT
Windsor Mill, MD 21244-1461
Phone (800) 784-2464
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@victoriousRNconcierge.com | Direct |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R212931 | MD | MD | Infusion Therapy Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JNCB Elite Services, LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1205572948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 RALDEN CT",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441461",
"telephone_number": "800-784-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 RALDEN CT",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441461",
"telephone_number": "800-784-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R212931",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MD",
"license": "R212931",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "MD",
"license": "R212931",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@victoriousRNconcierge.com",
"affiliation": "N",
"endpointDescription": "HIPPA email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13 Ralden Ct",
"city": "Windsor Mill",
"state": "MD",
"country_code": "US",
"postal_code": "212441461",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.