Individual provider Active NPI

Harold Gene Frizzell

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1578088407
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP09550 Issued in LA
Practice address
4640 W Congress St
Lafayette, LA 70506-6622
Phone
(337) 534-4087
NPI assigned
Aug 11, 2017
Last updated
Aug 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP09550 LA Primary

Addresses

Primary practice location

4640 W Congress St
Lafayette, LA 70506-6622

Mailing address

203 Luce Dr
Lafayette, LA 70506-2862
Phone (337) 781-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020000333 LA Practitioner - Nurse Practitioner 5991071888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 S College Rd
Suite 210
Lafayette, LA 70503-3294
Phone (337) 443-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09550LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cinderella Broussard LLC Psychiatric/Mental Health Current Accepting new patients
Harold G Frizzell Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Sep 5, 2017 Accepting new patients
Kite Clinic LLC Psychiatric/Mental Health PastSince Oct 24, 2021 Accepting new patients

Locations

208 W Gloria Switch Rd
#7
Lafayette, LA 70507
Phone (337) 534-4087

315 S College Rd
Ste 210
Lafayette, LA 70503
Phone (337) 443-2626

315 S College Rd
Ste 270
Lafayette, LA 70503

4640 W Congress St
Lafayette, LA 70506
Phone (337) 210-5844

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1578088407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LUCE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062862",
            "telephone_number": "337-781-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066622",
            "telephone_number": "337-534-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZELL",
        "first_name": "HAROLD",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.