Individual provider Active NPI

Jamie Rae Frost, BCBA

  • Behavior Analyst
  • Brookfield, WI
National Provider Identifier
1356864367
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
187-140 Issued in WI
Practice address
13100 W Lisbon Rd Ste 600
Brookfield, WI 53005-2509
Phone
(414) 207-4175
NPI assigned
Jul 21, 2017
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 187-140 WI Primary

Addresses

Primary practice location

13100 W Lisbon Rd Ste 600
Brookfield, WI 53005-2509

Mailing address

N27W23953 Paul Rd Ste 206
Pewaukee, WI 53072-6244

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
187-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Neuropsychology and Treatment Associates, SC Past Accepting new patients
Wiebusch & Nicholson Center for Autism, Inc. Past Accepting new patients
Mindcolor Autism LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1356864367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD STE 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 W LISBON RD STE 600",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052509",
            "telephone_number": "414-207-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JAMIE",
        "middle_name": "RAE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "187-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.