Clara Frost

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3000045 Issued in KY

Practice address

1725 Ashley Cir
Suite 209a
Bowling Green, KY 42104-3337

Phone

(270) 782-9994

Fax

(270) 842-5048

NPI assigned

Sep 27, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1487640181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031448",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ASHLEY CIR",
            "address_2": "SUITE 209A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043337",
            "telephone_number": "270-782-9994",
            "fax_number": "270-842-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "CLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430002387",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74008509",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kurt Frey II, D.M.D
• Dzenita Fridy
• Hailey Nicole Frits
• Connor Fritz, MD
• Christa M Frost
• Dylan Cody Fugate
• Full Life Counseling Service, PSC
• Fuller Life Health and Wellness
• Callie Brooke Fuller, MSW, CSW
• Kristina Fuller, LPCC

• Certified Registered Nurse Anesthetist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.