Frontline Mobile Health

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

FRONTLINE MOBILE HEALTH

Practice address

6517 N Lakewood Dr
Georgetown, TX 78633-9530

Phone

(512) 838-3808

Fax

(512) 253-2861

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Russell Burnham, APA-C

Title

Ceo

Phone

(512) 838-3808

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gena Anderson, APRN FNP-BC

  • Family Nurse Practitioner
  • Georgetown, TX
  • NPI 1841767613
  NPD
• Christopher Kent Brown, PA

  • Physician Assistant
  • Austin, TX
  • NPI 1659992451
  NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1902686116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 N LAKEWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786339530",
            "telephone_number": "512-838-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 N LAKEWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786339530",
            "telephone_number": "512-838-3808",
            "fax_number": "512-253-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE MOBILE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-838-3808",
        "authorized_official_credential": "APA-C"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Fredrickson, DC
• Cassy French
• Megan Frey
• Amy K Friggle, PA-C
• Front Line Peak Performance
• Brenda Bearden Fry, MSSW, LCSW
• Full Circle Wellness and Psychotherapy, PLLC
• Griffin Lowe Fuller, M.D.
• Lucy Fuller, MA, CCC-SLP
• Jason Matthew Funke, DPT

• Adult Medicine Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.