Individual provider Active NPI

Ophelia Sison Empleo-Frazier, MSN, GNP-BC

  • Adult Health Nurse Practitioner
  • Cheshire, CT
National Provider Identifier
1821316407
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2304 Issued in CT
Practice address
175 Scenic CT
Cheshire, CT 06410-1859
Phone
(203) 272-2171
Fax
(203) 272-2171
NPI assigned
May 6, 2010
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002304 CT
Gerontology Nurse Practitioner 363LG0600X 2304 CT
Adult Health Nurse Practitioner 363LA2200X 2304 CT Primary

Addresses

Primary practice location

175 Scenic CT
Cheshire, CT 06410-1859

Mailing address

175 Scenic CT
Cheshire, CT 06410-1859
Phone (203) 272-2171

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ophelia.empleofrazier.p4@direct.pact.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address ophelia.empleo-frazier@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
002304CTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1821316407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SCENIC CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101859",
            "telephone_number": "203-272-2171",
            "fax_number": "203-272-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SCENIC CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101859",
            "telephone_number": "203-272-2171",
            "fax_number": "203-272-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMPLEO-FRAZIER",
        "first_name": "OPHELIA",
        "middle_name": "SISON",
        "credential": "MSN, GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2021-05-26",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002304",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "2304",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ophelia.empleofrazier.p4@direct.pact.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "687 Campbell Ave",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065163774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ophelia.empleo-frazier@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "687 Campbell Ave",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065163774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.