Active NPI
Eric Michael Frost, RN
- Registered Nurse
- Waterloo, IA
National Provider Identifier
1649287145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 109403
- Practice address
- 1823 Cornwall Ave.
Waterloo, IA 50702-2601 - Phone
- (319) 287-5091
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109403 | IA | Primary |
Addresses
Primary practice location
1823 Cornwall Ave.
Waterloo, IA 50702-2601
Mailing address
1823 Cornwall Ave
Waterloo, IA 50702-2601
Phone (319) 415-8236
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109403 | IA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649287145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 CORNWALL AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507022601",
"telephone_number": "319-415-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 CORNWALL AVE.",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507022601",
"telephone_number": "319-287-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "109403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.