Ivy Duncan Fralick, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN149522 Issued in GA

Practice address

3564 Northcrossing Cir
Valdosta, GA 31602-6412

Phone

(229) 247-1414

NPI assigned

Apr 6, 2009

Last updated

Apr 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1447492582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 STARMOUNT DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056454",
            "telephone_number": "229-249-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 NORTHCROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026412",
            "telephone_number": "229-247-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALICK",
        "first_name": "IVY",
        "middle_name": "DUNCAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN149522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelle Forrester, LCSW
• Ariel Marlanda Fortson, MSW
• Shaniya Foster
• Azely Fountain
• Maci Dee Fox, ATC
• Anna-Lisa Franklin
• Larissa Kathleen Frauenheim, APRN
• Calvin Frazier
• Freckles Mentoring
• Amanda Frederiksen

• Family Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.