Jacob Dainel Frost

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

872877 Issued in TX

Practice address

1207 N Saint James Rd
Pilot Point, TX 76258-2715

Phone

(940) 372-5982

NPI assigned

Sep 28, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1669089157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N SAINT JAMES RD",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "762582715",
            "telephone_number": "940-372-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N SAINT JAMES RD",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "762582715",
            "telephone_number": "940-372-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JACOB",
        "middle_name": "DAINEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "872877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family NPS of North Texas (Medical Associates of Pilot Point)
• Susan Ferguson, SLP
• First Lone Star Pharmacy Group IV LLC (Axtell Pharmacy)
• First Lone Star Pharmacy Group IV LLC (Extendcare Pharmacy Services)
• Courtni Fontenot
• Caroline Frusha, MS, BCBA, LBA, CHW
• Garcia Healthcare Products, Inc (The DME Dr)
• Anthony Michael Gasperini, PT, DPT
• Juanita Kay Gill
• Jalissa Goode

• Student in an Organized Health Care Education/Training Program in Pilot Point, TX
• Providers in Pilot Point, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.