Active NPI
Jessy Frye, PMHNP-BC, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 183431
- Practice address
- 3211 Seawolf Dr
Anchorage, AK 99508-4614 - Phone
- (907) 786-4040
- NPI assigned
- Dec 17, 2018
- Last updated
- Oct 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9385552 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 183431 | AK | Primary |
Addresses
Primary practice location
3211 Seawolf Dr
Anchorage, AK 99508-4614
Mailing address
3211 Seawolf Dr
Anchorage, AK 99508-4614
Phone (907) 786-4040
Other practice location 1
17222 Hospital Blvd Ste 226
Brooksville, FL 34601
Phone (352) 678-5550
Other practice location 2
4800 Rowan Rd
New Port Richey, FL 34653-5609
Phone (727) 483-5912
Other practice location 3
11120 NW Gainesville Rd
Ocala, FL 34482-1479
Phone (352) 690-8887
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183431 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banyan Alaska, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Wasilla, AK
- NPI 1902518848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1598237448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 SEAWOLF DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084614",
"telephone_number": "907-786-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 SEAWOLF DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084614",
"telephone_number": "907-786-4040"
}
],
"practiceLocations": [
{
"address_1": "17222 Hospital Blvd Ste 226",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "34601",
"country_code": "US",
"telephone_number": "352-678-5550",
"fax_number": "352-678-5551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Rowan Rd",
"address_purpose": "LOCATION",
"city": "New Port Richey",
"state": "FL",
"postal_code": "346535609",
"country_code": "US",
"telephone_number": "727-483-5912",
"fax_number": "727-376-3652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11120 NW Gainesville Rd",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344821479",
"country_code": "US",
"telephone_number": "352-690-8887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRYE",
"first_name": "JESSY",
"credential": "PMHNP-BC, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9385552",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "183431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.