Fawn Elizabeth Frisk, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

343303620812E Issued in NY

Practice address

207 N Geneva St
Ithaca, NY 14850-4135

Phone

(607) 272-2610

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1891044764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N GENEVA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N GENEVA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504135",
            "telephone_number": "607-272-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISK",
        "first_name": "FAWN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NY",
            "license": "343303620812E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick a. Wood
• Arden Freedman, DC
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• Spencer David Freeman, DC
• Wendy Douglas Frickel, MD
• Karen Ann Fritz, LMSW
• Celeste H Froehlich, LCSW
• Brooke Fruechtl, DPT
• Colleen Fucigna
• William Fudeman

• Nurse's Aide in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Nurse's Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.