Active NPI
Evelyn Middleton-Frasier
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- McClellanville, SC
National Provider Identifier
1306298542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- RN40136
- Practice address
- 8633 N Highway 17
MC Clellanville, SC 29458-9470 - Phone
- (843) 834-2426
- NPI assigned
- Jul 12, 2016
- Last updated
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN40136 | SC | Primary |
Addresses
Primary practice location
8633 N Highway 17
MC Clellanville, SC 29458-9470
Mailing address
8633 N Highway 17
MC Clellanville, SC 29458-9470
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN40136 | SC | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our New Beginning | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- McClellanville, SC
- NPI 1144672262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1306298542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8633 N HIGHWAY 17",
"city": "MC CLELLANVILLE",
"state": "SC",
"postal_code": "294589470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8633 N HIGHWAY 17",
"city": "MC CLELLANVILLE",
"state": "SC",
"postal_code": "294589470",
"telephone_number": "843-834-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON-FRASIER",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "SC",
"license": "RN40136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McClellanville, SC
- McClellanville Dental LLC
- McClellanville Pharmacy Inc. (McClellanville Drugs)
- McClellanville Physical Therapy, LLC (Mary English PT)
- Isla Ruth Merritt, R.N.
- Rachel Michi, MS, BCBA
- Latoya S Middleton
- Our New Beginning
- Norris Rick Philbeck, OD
- Jarrod Reynolds, M.D.
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.