Active NPI
Megan Angela Fraser, NP
- Family Nurse Practitioner
- Surprise, AZ
National Provider Identifier
1457139925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 290536
- Practice address
- 13615 N 145TH Dr
Surprise, AZ 85379-6175 - Phone
- (951) 204-2689
- NPI assigned
- Sep 18, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 290536 | AZ | Primary |
Addresses
Primary practice location
13615 N 145TH Dr
Surprise, AZ 85379-6175
Mailing address
13615 N 145TH Dr
Surprise, AZ 85379-6175
Phone (951) 204-2689
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290536 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1457139925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13615 N 145TH DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853796175",
"telephone_number": "951-204-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13615 N 145TH DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853796175",
"telephone_number": "951-204-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "MEGAN",
"middle_name": "ANGELA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "290536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.