Organization Active NPI

Andrea Fritschle MD PA

  • Child & Adolescent Psychiatry Physician
  • Orange Park, FL
National Provider Identifier
1558735704
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME113805 Issued in FL
Legal business name
ANDREA FRITSCHLE MD PA
Practice address
1543 Kingsley Ave
Suite 6
Orange Park, FL 32073-4535
Phone
(904) 269-7200
Fax
(904) 269-0070
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Marie Fritschle, MD
Title
Psychiatrist
Phone
(904) 269-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X ME113805 FL Primary

Addresses

Primary practice location

1543 Kingsley Ave
Suite 6
Orange Park, FL 32073-4535

Mailing address

1543 Kingsley Ave
Suite 6
Orange Park, FL 32073-4535
Phone (904) 269-7200

National Provider Directory

National Provider Directory

Locations

8833 Perimeter Park Blvd
Ste 503
Jacksonville, FL 32216
Phone (904) 687-1055

1543 Kingsley Ave
Ste 6
Orange Park, FL 32073
Phone (904) 269-7200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1558735704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE",
            "address_2": "SUITE 6",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734535",
            "telephone_number": "904-269-7200",
            "fax_number": "904-269-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE",
            "address_2": "SUITE 6",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734535",
            "telephone_number": "904-269-7200",
            "fax_number": "904-269-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA FRITSCHLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "FRITSCHLE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "904-269-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME113805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.