Active NPI
Courtney Chanelle Fragie
- Medical Physician Assistant
- Spokane, WA
National Provider Identifier
1376427625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 60364219
- Practice address
- 1302 W Gardner Ave
Spokane, WA 99201-2059 - Phone
- (509) 503-6010
- Fax
- (833) 597-8372
- NPI assigned
- Jul 31, 2025
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 60364219 | WA | Primary |
Addresses
Primary practice location
1302 W Gardner Ave
Spokane, WA 99201-2059
Mailing address
7440 W Marginal Way S
Seattle, WA 98108-4141
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 |
|---|---|---|---|
| 60364219 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1376427625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7440 W MARGINAL WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981084141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 W GARDNER AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012059",
"telephone_number": "509-503-6010",
"fax_number": "833-597-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGIE",
"first_name": "COURTNEY",
"middle_name": "CHANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-31",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "60364219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.