Roslyn L Frazier Reed, MEDICAL PROSTHESIC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

39500 W 10 Mile Rd Ste 105
Novi, MI 48375-2947

Phone

(248) 719-4778

Fax

(248) 793-9926

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1255008207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD STE 105",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-719-4778",
            "fax_number": "248-793-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD STE 105",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-719-4778",
            "fax_number": "248-793-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER REED",
        "first_name": "ROSLYN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MEDICAL PROSTHESIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Franz
• Johnathon W Frary Denton
• Mary Fraser, RN
• Nikki Fraser
• Samantha Frawley
• Charles M Frazier
• Heather Lynn Frederick
• Kaitlynn Fredle, BCBA, LBA
• Velesen Freeblade
• Hannah Freed

• Customized Equipment (DME) in Novi, MI
• Providers in Novi, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.