Athenia Frazier

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5198342 Issued in FL

Practice address

3238 W New Haven Ave
Melbourne, FL 32904-3536

Phone

(321) 729-6747

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Athenia Prickett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1265803449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 WIGMORE ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095756",
            "telephone_number": "321-339-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 W NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043536",
            "telephone_number": "321-729-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ATHENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5198342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHENIA",
            "last_name": "PRICKETT",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Marie Franklin, PT
• Kevin Fraser
• Krystal Fraser
• Thomas Forbes Frauenhofer Sr., D.C.
• Nicole Danielle Fraumeni, APRN
• Christian Frazier
• Jamara R Frazier
• Rosalind A Freas, MD
• Jennifer K Fredenburg, BCBA
• Peggy Frederique-Bell, PAC

• Licensed Practical Nurse in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.