Active NPI
Jacqueline Frazier, M.A.-CCC-S
- Speech-Language Pathologist
- Hurricane, WV
National Provider Identifier
1326165838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-0041
- Practice address
- 1019 Wethersfield Xing
Hurricane, WV 25526-8719 - Phone
- (304) 345-6313
- Fax
- (304) 926-8317
- NPI assigned
- Mar 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-0041 | WV | Primary |
Addresses
Primary practice location
1019 Wethersfield Xing
Hurricane, WV 25526-8719
Mailing address
1807 Mount Alpha Rd
Charleston, WV 25304-2736
Phone (304) 926-8316
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 |
|---|---|---|---|
| SLP-0041 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Linguacare Associates, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jfrazier15660@direct.childrenscolorado.org
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1508005398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326165838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 MOUNT ALPHA RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042736",
"telephone_number": "304-926-8316",
"fax_number": "304-926-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 WETHERSFIELD XING",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268719",
"telephone_number": "304-345-6313",
"fax_number": "304-926-8317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "JACQUELINE",
"name_prefix": "Mrs.",
"credential": "M.A.-CCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-0041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, WV
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.