Individual provider Active NPI

Rodger Dale Fristad, INTERPRETER

  • Interpreter
  • Manson, WA
National Provider Identifier
1265034508
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
4582 Issued in WA
Practice address
1000 State Route 150 SPC 60
Manson, WA 98831-9060
Phone
(509) 433-8543
NPI assigned
Nov 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X 4582 WA Primary
Interpreter 171R00000X SC12066 WA
Interpreter 171R00000X MC56081 WA

Addresses

Primary practice location

1000 State Route 150 SPC 60
Manson, WA 98831-9060

Mailing address

1000 State Route 150 SPC 60
Manson, WA 98831-9060
Phone (509) 433-8543

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

State licenses

LicenseStateTypeSpecialty
4582WAMDInterpreter
MC56081WAMDInterpreter
SC12066WAMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1265034508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 STATE ROUTE 150 SPC 60",
            "city": "MANSON",
            "state": "WA",
            "postal_code": "988319060",
            "telephone_number": "509-433-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STATE ROUTE 150 SPC 60",
            "city": "MANSON",
            "state": "WA",
            "postal_code": "988319060",
            "telephone_number": "509-433-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISTAD",
        "first_name": "RODGER",
        "middle_name": "DALE",
        "credential": "INTERPRETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "4582",
            "primary": true
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "SC12066",
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "MC56081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manson, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.