Active NPI
Kimyatta M. Frazier, R.N., DOULA
- Doula
- Chester, PA
National Provider Identifier
1457595977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 2600 W 9TH St
1 SW
Chester, PA 19013-2040 - Phone
- (610) 497-7399
- Fax
- (610) 497-7472
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0034895 | DE | |
| Registered Nurse | 163W00000X | RN95312923 | CA | |
| Home Health Registered Nurse | 163WH0200X | RN524236L | PA | |
| Maternal Newborn Registered Nurse | 163WM0102X | RN524236L | PA | |
| Maternal Newborn Registered Nurse | 163WM0102X | 26NR11623500 | NJ | |
| Doula | 374J00000X | NJ | Primary | |
| Registered Nurse | 163W00000X | RN524236L | PA | |
| Registered Nurse | 163W00000X | 838612 | NY | |
| Registered Nurse | 163W00000X | 26NR11623500 | NJ |
Addresses
Primary practice location
2600 W 9TH St
1 SW
Chester, PA 19013-2040
Mailing address
2600 W 9TH St
1 SW
Chester, PA 19013-2040
Phone (610) 497-7399
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN95312923 | CA | MD | Registered Nurse |
| L1-0034895 | DE | MD | Registered Nurse |
| 26NR11623500 | NJ | MD | Registered Nurse |
| 838612 | NY | MD | Registered Nurse |
| RN524236L | PA | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1457595977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 W 9TH ST",
"address_2": "1 SW",
"city": "CHESTER",
"state": "PA",
"postal_code": "190132040",
"telephone_number": "610-497-7399",
"fax_number": "610-497-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W 9TH ST",
"address_2": "1 SW",
"city": "CHESTER",
"state": "PA",
"postal_code": "190132040",
"telephone_number": "610-497-7399",
"fax_number": "610-497-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "KIMYATTA",
"middle_name": "M.",
"credential": "R.N., DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0034895",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN95312923",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "PA",
"license": "RN524236L",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "PA",
"license": "RN524236L",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "NJ",
"license": "26NR11623500",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN524236L",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "838612",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR11623500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.