Individual provider Active NPI

Jacqueline Lea Fretto, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1275688418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN063776 Issued in AZ
Practice address
485 S Dobson Rd
Suite 111
Chandler, AZ 85224-5602
Phone
(480) 821-4701
Fax
(480) 821-4708
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN063776 AZ Primary

Addresses

Primary practice location

485 S Dobson Rd
Suite 111
Chandler, AZ 85224-5602

Mailing address

485 S Dobson Rd
Suite 111
Chandler, AZ 85224-5602
Phone (480) 821-4701

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
RN063776AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275688418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD",
            "address_2": "SUITE 111",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245602",
            "telephone_number": "480-821-4701",
            "fax_number": "480-821-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD",
            "address_2": "SUITE 111",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245602",
            "telephone_number": "480-821-4701",
            "fax_number": "480-821-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETTO",
        "first_name": "JACQUELINE",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN063776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.