Individual provider Active NPI

Jessica Nicole Frazier, RN

  • Infusion Therapy Registered Nurse
  • Windsor Mill, MD
National Provider Identifier
1205572948
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
R212931 Issued in MD
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

Updated by the provider on May 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
R212931MDMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.