Active NPI
Emily Ann Frazier, ARNP
- Family Nurse Practitioner
- Bellingham, WA
National Provider Identifier
1720039324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30007120
- Practice address
- 2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1811 - Phone
- (360) 734-2700
- Fax
- (360) 734-8362
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30007120 | WA | Primary |
Addresses
Primary practice location
2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1811
Mailing address
PO Box 5096
Bellingham, WA 98227-5096
Phone (360) 734-2700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305FR | Other | WA | REGENCE BLUE SHIELD |
| AF05 | Other | WA | TRI WEST (TRICARE) |
| 0280181 | Other | WA | L&I AND CRIME VICTIMS |
| 1720039324 | Medicaid | WA | |
| 9651332 | Medicaid | WA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007120 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1720039324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5096",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982275096",
"telephone_number": "360-734-2700",
"fax_number": "360-734-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2979 SQUALICUM PKWY",
"address_2": "SUITE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251811",
"telephone_number": "360-734-2700",
"fax_number": "360-734-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "0305FR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI WEST (TRICARE)",
"identifier": "AF05",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0280181",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720039324",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9651332",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.