Active NPI
Donna C. Fraysier, MSN, ACNS-BC, APN
- Adult Health Clinical Nurse Specialist
- Johnson City, TN
National Provider Identifier
1487892220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- APN0000013716
- Practice address
- 365 Stout Drive
Nicks Hall, Room 160
Johnson City, TN 37614 - Phone
- (423) 439-4225
- Fax
- (423) 439-4560
- NPI assigned
- Feb 2, 2009
- Last updated
- Aug 29, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | APN0000013716 | TN | Primary |
Addresses
Primary practice location
365 Stout Drive
Nicks Hall, Room 160
Johnson City, TN 37614
Mailing address
PO Box 70403
Johnson City, TN 37614-1703
Phone (423) 439-4515
Other practice location 1
2151 Century Ln
Johnson City, TN 37604-4469
Phone (423) 926-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q033568 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000013716 | TN | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1487892220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141703",
"telephone_number": "423-439-4515",
"fax_number": "423-439-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 STOUT DRIVE",
"address_2": "NICKS HALL, ROOM 160",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37614",
"telephone_number": "423-439-4225",
"fax_number": "423-439-4560"
}
],
"practiceLocations": [
{
"address_1": "2151 Century Ln",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376044469",
"country_code": "US",
"telephone_number": "423-926-2500",
"fax_number": "423-926-5999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAYSIER",
"first_name": "DONNA",
"middle_name": "C.",
"credential": "MSN, ACNS-BC, APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TN",
"license": "APN0000013716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q033568",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.