Individual provider Active NPI

Jonelle Lynne Fraga, RN

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1811795800
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN196132 Issued in AZ
Practice address
1950 W Heatherbrae Dr Ste 10-1
Phoenix, AZ 85015-5110
Phone
(602) 336-5155
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN196132 AZ Primary

Addresses

Primary practice location

1950 W Heatherbrae Dr Ste 10-1
Phoenix, AZ 85015-5110

Mailing address

1950 W Heatherbrae Dr Ste 10-1
Phoenix, AZ 85015-5110
Phone (602) 336-5155

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN196132AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Health and Recovery CurrentSince Mar 11, 2025 Accepting new patients
Center for Health and Recovery CurrentSince Mar 11, 2025 Accepting new patients

Locations

1950 W Heatherbrae Dr
Ste 101
Phoenix, AZ 85015
Phone (602) 246-7607

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1811795800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W HEATHERBRAE DR STE 10-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155110",
            "telephone_number": "602-336-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W HEATHERBRAE DR STE 10-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155110",
            "telephone_number": "602-336-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGA",
        "first_name": "JONELLE",
        "middle_name": "LYNNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN196132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.