Individual provider Active NPI

Lynn D. Frazier, AU.D.,CCC-A

  • Audiologist
  • Jeffersonville, IN
National Provider Identifier
1801855093
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23001755 Issued in IN
Practice address
111 Orchard Hills Dr
Apt. 224
Jeffersonville, IN 47130-8270
Phone
(812) 449-8702
NPI assigned
Mar 17, 2006
Last updated
Sep 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23001755 IN Primary

Addresses

Primary practice location

111 Orchard Hills Dr
Apt. 224
Jeffersonville, IN 47130-8270

Mailing address

111 Orchard Hills Dr
Apt. 224
Jeffersonville, IN 47130-8270
Phone (812) 449-8702

Other identifiers 1

IdentifierTypeStateIssuer
200267510MedicaidIN

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

State licenses

LicenseStateTypeSpecialty
23001755INMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1801855093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ORCHARD HILLS DR",
            "address_2": "APT. 224",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308270",
            "telephone_number": "812-449-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ORCHARD HILLS DR",
            "address_2": "APT. 224",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308270",
            "telephone_number": "812-449-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "LYNN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "AU.D.,CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23001755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.