Individual provider Active NPI

Vanessa L Frazier, LPN

  • Licensed Practical Nurse
  • Youngstown, OH
National Provider Identifier
1295226934
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.182274.MEDS-IV Issued in OH
Practice address
2929 Noel Dr
Youngstown, OH 44509-3025
Phone
(330) 564-6994
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Licensed Practical Nurse 164W00000X LPN.182274.MEDS-IV OH Primary

Addresses

Primary practice location

2929 Noel Dr
Youngstown, OH 44509-3025

Mailing address

2929 Noel Dr
Youngstown, OH 44509-3025
Phone (330) 564-6994

Other names 1

  • Vanessa Jones Former name

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
LPN.182274.MEDS-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Recovery Center of Youngstown LLC Community/Behavioral Health Past Accepting new patients
Midwest Detox Center LLC Past Accepting new patients
Valor Recovery Center of Youngstown LLC Community/Behavioral Health Past Accepting new patients
Midwest Detox Center LLC Past Accepting new patients
Midwest Recovery Center LLC Community/Behavioral Health Past Accepting new patients
Midwest Recovery Center LLC Community/Behavioral Health Past Accepting new patients

Organizations & group practices 6

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1295226934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 NOEL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445093025",
            "telephone_number": "330-564-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 NOEL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445093025",
            "telephone_number": "330-564-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.182274.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.