Active NPI
Cory F Asadi-Frazier, NP
- Pediatric Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11000729
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 975-0412
- Fax
- (407) 975-0413
- NPI assigned
- Oct 11, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704300463 | MI | |
| Pediatric Nurse Practitioner | 363LP0200X | RN-296830/NP-07044 | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11000729 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2340416 | Medicaid | OH |
Other names 1
- Cory Frazier Antonelli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11000729 | FL | MD | Pediatric Nurse Practitioner |
| RN-296830/NP-07044 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Tenet Florida Physician Services II, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services II, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
927 45th St
Ste 303
Mangonia Park, FL 33407
Phone (561) 833-6116
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
901 Village Blvd
Ste 702
West Palm Beach, FL 33409
Phone (561) 437-0589
5325 Greenwood Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 736-7313
Interoperability endpoints
- casadifrazier127910@adventhealth.direct-ci.com
- cory.asadi-frazier.1@13023.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1912266420
Nurse Practitioner
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Cantor Spine Center-At The Paley Orthopedic & Spine Institute
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1770391286
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576368000000",
"number": "1821286170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-975-0412",
"fax_number": "407-975-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-975-0412",
"fax_number": "407-975-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASADI-FRAZIER",
"first_name": "CORY",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2019-12-15",
"certification_date": "2019-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704300463",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "RN-296830/NP-07044",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11000729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2340416",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORY",
"last_name": "FRAZIER ANTONELLI",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.