Individual provider Active NPI

Kristen Jessica Frace, MA, EDS

  • School Psychologist
  • Martinsburg, WV
National Provider Identifier
1821313818
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
401 S Queen St
Martinsburg, WV 25401-3233
Phone
(304) 264-5055
Fax
(304) 264-5058
NPI assigned
Apr 1, 2010
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NU Primary

Addresses

Primary practice location

401 S Queen St
Martinsburg, WV 25401-3233

Mailing address

401 S Queen St
Martinsburg, WV 25401-3233
Phone (304) 264-5055

Other identifiers 1

IdentifierTypeStateIssuer
R5F131600201OtherWVSTATE OF WV

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
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1821313818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S QUEEN ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013233",
            "telephone_number": "304-264-5055",
            "fax_number": "304-264-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S QUEEN ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013233",
            "telephone_number": "304-264-5055",
            "fax_number": "304-264-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACE",
        "first_name": "KRISTEN",
        "middle_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "MA, EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WV",
            "identifier": "R5F131600201",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.