Active NPI
Genesis Frazier
- Social Worker
- Tucson, AZ
National Provider Identifier
1417593195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3601 S 6TH Ave
Tucson, AZ 85723-0001 - Phone
- (520) 442-7321
- NPI assigned
- Nov 18, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Tucson, AZ 85723-0001
Mailing address
9252 E Muleshoe St
Tucson, AZ 85747-5362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10202017 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gorozco6@asu.edu |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1417593195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9252 E MULESHOE ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857475362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-442-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "GENESIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10202017",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gorozco6@asu.edu",
"affiliation": "N",
"address_1": "3601 S 6th Ave",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857230001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.