Active NPI
Kendria Sherrill Frasier, CRNA
- Certified Registered Nurse Anesthetist
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN517980L
- Practice address
- 200 Medical Park Blvd
Petersburg, VA 23805-9274 - Phone
- (703) 295-9360
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024181593 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN517980L | PA | Primary |
Addresses
Primary practice location
200 Medical Park Blvd
Petersburg, VA 23805-9274
Mailing address
2 Reads Way
Suite 201
New Castle, DE 19720-1630
Phone (302) 709-4709
Other practice location 1
4755 Ogletown Stanton Road
Newark, DE 19718-1320
Phone (302) 733-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA, VA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950
200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (804) 765-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN517980L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1982329900
-
- Anesthesiology Physician
- New Castle, DE
- NPI 1053366377
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Gynecology Physician
- Philadelphia, PA
- NPI 1336537448
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Petersburg, VA
- NPI 1720623853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1316283625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 READS WAY",
"address_2": "SUITE 201",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197201630",
"telephone_number": "302-709-4709",
"fax_number": "302-709-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059274",
"telephone_number": "703-295-9360"
}
],
"practiceLocations": [
{
"address_1": "4755 Ogletown Stanton Road",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197181320",
"country_code": "US",
"telephone_number": "302-733-1000",
"fax_number": "302-733-2685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRASIER",
"first_name": "KENDRIA",
"middle_name": "SHERRILL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024181593",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN517980L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.