Laurette Susan Frazier, PHARMACIST, DSP.

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

197509 Issued in IN

Practice address

2815 E 10TH St
Bloomington, IN 47408-2601

Phone

(812) 679-2207

NPI assigned

Jan 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Laurette Susan Frazier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1609053289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 E MILLER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016712",
            "telephone_number": "812-679-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 E 10TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082601",
            "telephone_number": "812-679-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "LAURETTE",
        "middle_name": "SUSAN",
        "credential": "PHARMACIST, DSP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "110997",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26015089A",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": "IN",
            "license": "197509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURETTE",
            "last_name": "FRAZIER",
            "middle_name": "SUSAN",
            "credential": "PASTORAL COUNSELOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sherry Franklin, LCSW
• James Scott Frasure, M.D.
• Kathy Annette Frasure, RN
• Jordan Mae Frazee, AUD
• Debora Frazier, ACSW, LCSW
• Jerry Walter Frederick, RPH
• Cionna Freeman, RBT
• Jennifer L Freeman, M.A. CCC-SLP
• Joshua Freeman, LAT, ATC, CSCS
• Kimberly Jo Freeman, RPH

• Other Specialist/Technologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Other Specialist/Technologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; 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.