Individual provider Active NPI

Alene Rose Frycek, NP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1205866902
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2329 / RN071783 Issued in AZ
Practice address
4838 E Baseline Rd
BLDG 2 Ste. 110
Mesa, AZ 85206-4671
Phone
(480) 892-2800
Fax
(480) 892-1400
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP2329 / RN071783 AZ Primary

Addresses

Primary practice location

4838 E Baseline Rd
BLDG 2 Ste. 110
Mesa, AZ 85206-4671

Mailing address

PO Box 63423
Phoenix, AZ 85082-3423
Phone (480) 892-2800

Other identifiers 1

IdentifierTypeStateIssuer
447232MedicaidAZ

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP2329 / RN071783AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1205866902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63423",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850823423",
            "telephone_number": "480-892-2800",
            "fax_number": "480-982-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD",
            "address_2": "BLDG 2 STE. 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064671",
            "telephone_number": "480-892-2800",
            "fax_number": "480-892-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYCEK",
        "first_name": "ALENE",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2329 / RN071783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447232",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.