Alicia D Frasure, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

17018 Issued in TN

Practice address

604 N Roan St Ste 101
Johnson City, TN 37601-4651

Phone

(423) 900-3534

Fax

(423) 558-2525

NPI assigned

Nov 19, 2012

Last updated

May 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing & Restorative Therapies Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Johnson City, TN
  • NPI 1427803311

  Family

  NPD Authorized official
• Castle Clinic PLC

  • Plastic Surgery Physician
  • Johnson City, TN
  • NPI 1447260765
  NPD
• East Tennessee State University

  dba Mountain City Extended Hours Health Center

  • Rural Health Clinic/Center
  • Mountain City, TN
  • NPI 1295779361
  NPD

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1750625539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 W STATE OF FRANKLIN RD STE 5",
            "address_2": "PB270",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-900-3534",
            "fax_number": "423-558-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ROAN ST STE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014651",
            "telephone_number": "423-900-3534",
            "fax_number": "423-558-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASURE",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171150",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "17018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "0024171150",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530700",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "APN17018",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "RN169173",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis B Fox
• Franklin Rehab Clinic
• Kimberly A Franklin, B.S.
• Maggie Layne Franklin
• Rola Mousa Franks, PHARMD
• Donna C. Fraysier, MSN, ACNS-BC, APN
• Rebecca Frazier, LMSW
• Aaron M Free, LPC
• Andrew Blake Freeman
• Melanie A French

• Psychiatric/Mental Health Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.