Individual provider Active NPI

Natalie Ann Frasier, APN-C

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1255720421
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19352 Issued in TN
Practice address
711 NW Atlantic St
Tullahoma, TN 37388-3562
Phone
(931) 392-4169
Fax
(931) 392-4187
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19352 TN Primary
Registered Nurse 163W00000X 155239 TN

Addresses

Primary practice location

711 NW Atlantic St
Tullahoma, TN 37388-3562

Mailing address

5833 Aedc Rd
Estill Springs, TN 37330-3915
Phone (931) 392-4169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001105 TN Practitioner - Nurse Practitioner 5193025419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
155239TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 14, 2017 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 14, 2017 Accepting new patients

Locations

150 Sam Walton Dr
Sparta, TN 38583
Phone (931) 332-0961

600 N Jackson St
Tullahoma, TN 37388
Phone (931) 563-5469

Organizations & group practices 2

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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1255720421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 AEDC RD",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303915",
            "telephone_number": "931-392-4169",
            "fax_number": "931-392-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW ATLANTIC ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883562",
            "telephone_number": "931-392-4169",
            "fax_number": "931-392-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASIER",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19352",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "155239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.