Individual provider Active NPI

Carey Leann Frazer, FNP-C

  • Family Nurse Practitioner
  • Double Oak, TX
National Provider Identifier
1710538558
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143156 Issued in TX
Practice address
8501 FM 407
Double Oak, TX 75077-3031
Phone
(972) 966-1980
Fax
(972) 691-4937
NPI assigned
Sep 24, 2019
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143156 TX Primary

Addresses

Primary practice location

8501 FM 407
Double Oak, TX 75077-3031

Mailing address

8501 FM 407
Double Oak, TX 75077-3031
Phone (972) 966-1980

Other practice location 1

3800 Main St Ste 100
The Colony, TX 75056-2838
Phone (214) 423-4141

Other names 1

  • Carey Leann Placke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618002544 TX Practitioner - Nurse Practitioner 9931521069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143156TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Emergency Physicians, PA CurrentSince Sep 11, 2022 Accepting new patients
Rapid Med Argyle PA CurrentSince Oct 19, 2020 Accepting new patients
Travis County Emergency Physicians PA CurrentSince May 26, 2020 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

8501 Justin Rd
Lewisville, TX 75077
Phone (940) 784-7045

Organizations & group practices 3

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1710538558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "972-966-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "972-966-1980",
            "fax_number": "972-691-4937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750562838",
            "country_code": "US",
            "telephone_number": "214-423-4141",
            "fax_number": "214-423-4145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "CAREY",
        "middle_name": "LEANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "PLACKE",
            "middle_name": "LEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Double Oak, TX

Sources for this page

Verify at the official NPI Registry.