Individual provider Active NPI

Carolyn Kay Frigon, MSN FNP

  • Nurse Practitioner
  • Selma, CA
National Provider Identifier
1679535884
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12482 Issued in CA
Practice address
2141 High St
Selma, CA 93662-3065
Phone
(559) 856-6110
Fax
(559) 856-6108
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 541793 CA
Nurse Practitioner 363L00000X 12482 CA Primary

Addresses

Primary practice location

2141 High St
Selma, CA 93662-3065

Mailing address

2141 High Street
Selma, CA 93662
Phone (559) 856-6110

Other names 1

  • Miss Carolyn Kay Beard Other name

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
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
541793CAMDRegistered Nurse
12482CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Care Level Management Direct Medical Group, Inc PastSince Jun 26, 2006 Accepting new patients
Spine and Orthopaedic Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1679535884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 HIGH STREET",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "93662",
            "telephone_number": "559-856-6110",
            "fax_number": "559-856-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 HIGH ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623065",
            "telephone_number": "559-856-6110",
            "fax_number": "559-856-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIGON",
        "first_name": "CAROLYN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "541793",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "12482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BEARD",
            "middle_name": "KAY",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.