Active NPI
Donna E. Frazier, NP
- Family Nurse Practitioner
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2023041356
- Practice address
- 105 N Keene St Ste 201
Columbia, MO 65201-8131 - Phone
- (573) 499-4990
- Fax
- (573) 442-2120
- NPI assigned
- Jun 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024176194 | VA | |
| Family Nurse Practitioner | 363LF0000X | 2023041356 | MO | Primary |
Addresses
Primary practice location
105 N Keene St Ste 201
Columbia, MO 65201-8131
Mailing address
105 N Keene St Ste 201
Columbia, MO 65201-8131
Phone (573) 499-4990
Other names 1
- Donna Smith
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | donna.frazier@mca.ikm.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Urgent Care LLC | Single Specialty | Current | Accepting new patients |
| James Cole Physiatry LLC | Single Specialty | Current | Accepting new patients |
| Privia Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| NP Health of Mo LLC | Single Specialty | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nextcare Missouri LLC | Single Specialty | Current | Accepting new patients |
| Physical Medicine Associates LTD | Single Specialty | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
4401 Parker Rd
Black Jack, MO 63033
Phone (314) 312-0720
10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800
202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824
4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- donna.frazier@mca.ikm.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Saint Louis, MO
- NPI 1982336988
Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1477170959
MO, Single Specialty
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Clinical Laboratory Director (Non-physician)
- Columbia, MD
- NPI 1750840666
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1487147369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N KEENE ST STE 201",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018131",
"telephone_number": "573-499-4990",
"fax_number": "573-442-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N KEENE ST STE 201",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018131",
"telephone_number": "573-499-4990",
"fax_number": "573-442-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "DONNA",
"middle_name": "E.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024176194",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2023041356",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "donna.frazier@mca.ikm.direct-ci.com",
"affiliation": "N",
"address_1": "105 N Keene St Ste 201",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652018131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DONNA",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.