Individual provider Active NPI

Jessica Frazier

  • Infectious Disease Physician
  • Little Rock, AR
National Provider Identifier
1689036329
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
E12577 Issued in AR
Practice address
1 Saint Vincent Cir Ste 160
Little Rock, AR 72205-5406
Phone
(501) 661-0037
Fax
(501) 661-0038
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X E12577 AR Primary

Addresses

Primary practice location

1 Saint Vincent Cir Ste 160
Little Rock, AR 72205-5406

Mailing address

1 Saint Vincent Cir Ste 160
Little Rock, AR 72205-5406
Phone (501) 661-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001411 AR Practitioner - Infectious Disease 8022300110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Arkansas College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Resource Group LLPGroup PAC ID 9234036450, 7 clinicians

Practice addresses (Care Compare)

1 Saint Vincent Cir
Suite 160
Little Rock, AR 72205-5406
Phone (501) 661-0037

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E12577ARMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Resource Group LLP Infectious Disease CurrentSince Nov 18, 2020 Accepting new patients

Locations

1 Saint Vincent Cir
Ste 160
Little Rock, AR 72205
Phone (501) 661-0037

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1689036329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 160",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055406",
            "telephone_number": "501-661-0037",
            "fax_number": "501-661-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 160",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055406",
            "telephone_number": "501-661-0037",
            "fax_number": "501-661-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AR",
            "license": "E12577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.