Individual provider Active NPI

Kimberlee A Frontain, MSN, RN

  • Psychiatric/Mental Health Registered Nurse
  • Fairbanks, AK
National Provider Identifier
1689392284
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
103897 Issued in AK
Practice address
1027 Evergreen St
Fairbanks, AK 99709-4306
Phone
(907) 451-8164
Fax
(907) 451-0273
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 103897 AK Primary

Addresses

Primary practice location

1027 Evergreen St
Fairbanks, AK 99709-4306

Mailing address

1027 Evergreen St
Fairbanks, AK 99709-4306
Phone (907) 451-8164

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfrontain@fairbanksnative.org Direct

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
103897AKMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Native Association PastSince Aug 28, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1689392284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 EVERGREEN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094306",
            "telephone_number": "907-451-8164",
            "fax_number": "907-451-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 EVERGREEN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094306",
            "telephone_number": "907-451-8164",
            "fax_number": "907-451-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTAIN",
        "first_name": "KIMBERLEE",
        "middle_name": "A",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AK",
            "license": "103897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfrontain@fairbanksnative.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1027 Evergreen St",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997094306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.