Courtney Frieze

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

300834 Issued in AZ

Practice address

2132 N Lazona Dr
Mesa, AZ 85203-2020

Phone

(480) 358-7115

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1346852696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 N LAZONA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N LAZONA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032020",
            "telephone_number": "480-358-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "The University Of Arizona",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857212020",
            "country_code": "US",
            "telephone_number": "520-621-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEZE",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN200309",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "300834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Friedman, LMSW
• Paul Friedman
• Campbell Friend, DPT
• Amy Friesen, MA,CCC-SLP
• Jacobo Frietz
• Daniel Stephen Frimer
• Mary Kathryn Fritsch
• Edward R Fritz, D.D.S.
• Melanie Fritz
• Dan Froerer, DC

• All providers in Mesa, AZ
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.