Individual provider Active NPI

Jessy Frye, PMHNP-BC, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1598237448
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
183431 Issued in AK
Practice address
3211 Seawolf Dr
Anchorage, AK 99508-4614
Phone
(907) 786-4040
NPI assigned
Dec 17, 2018
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
183431AKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.