Individual provider Active NPI

Samantha-Rose Lee Frazier, APRN, CNM

  • Women's Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1366213837
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
873971 Issued in NV
Practice address
975 Ryland St Ste 105
Reno, NV 89502-1668
Phone
(775) 982-5640
Fax
(775) 982-5641
NPI assigned
Jan 12, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 873971 NV Primary
Advanced Practice Midwife 367A00000X 873971 NV

Addresses

Primary practice location

975 Ryland St Ste 105
Reno, NV 89502-1668

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327004089 NV Practitioner - Certified Nurse Midwife (CNM) 7618313305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renown Transitional Care ServicesGroup PAC ID 4688642176, 10 clinicians

Practice addresses (Care Compare)

975 Ryland St
Suite 105
Reno, NV 89502-1668
Phone (775) 982-5640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Mar 1, 2024 Accepting new patients
Renown Transitional Care Services CurrentSince Mar 1, 2024 Accepting new patients
Community Care Services LLC CurrentSince Mar 1, 2024 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

10085 Double R Blvd
Ste 120
Reno, NV 89521
Phone (775) 982-4910

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

1500 E 2nd St
Ste 203
Reno, NV 89502
Phone (775) 829-0573

901 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 982-5640

975 Ryland St
Ste 105
Reno, NV 89502
Phone (775) 982-5640

Interoperability endpoints

  • Direct secure messaging: sthreats98873@direct.renown.org

Organizations & group practices 5

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1366213837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 RYLAND ST STE 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021668",
            "telephone_number": "775-982-5640",
            "fax_number": "775-982-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "SAMANTHA-ROSE",
        "middle_name": "LEE",
        "credential": "APRN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "873971",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "873971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.