Jarrod Chevalier Fritz, LMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

20-4692852 Issued in SC

Practice address

1064 Gardner Rd
Ste 313
Charleston, SC 29407-5768

Phone

(843) 813-1200

Fax

(843) 852-9949

NPI assigned

May 13, 2010

Last updated

May 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1912225004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 GARDNER RD.",
            "address_2": "STE 313",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "843-813-1200",
            "fax_number": "843-852-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 GARDNER RD",
            "address_2": "STE 313",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075768",
            "telephone_number": "843-813-1200",
            "fax_number": "843-852-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "JARROD",
        "middle_name": "CHEVALIER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "3692",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "20-4692852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joel Friedman, MD
• David Mark Friedrich, M.D.
• Jessica Antoinette Fripp, M.ED.
• Patricia F. Frisch, PH.D.
• Katelyn Fritsche, MD
• Nicholas William Fritz, PHARMD
• Katherine Seawright Frizelle, M.D.
• Duane Naldo Froes, AGACNP
• Jeffrey Innes Frohock, M.D.
• Torrey Fry

• Community Health Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Community Health Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.