Active NPI
Desa Ree Frazier, RDLD
- Registered Dietitian
- Dothan, AL
National Provider Identifier
1841382900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 977
- Practice address
- 1108 Ross Clark Cir
Dothan, AL 36301-3022 - Phone
- (334) 793-8111
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 977 | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir
Dothan, AL 36301-3022
Mailing address
802 Highland St
Dothan, AL 36301-5158
Phone (334) 702-9275
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 977 | AL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1841382900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 HIGHLAND ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363015158",
"telephone_number": "334-702-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-793-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "DESA",
"middle_name": "REE",
"credential": "RDLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.