Active NPI
Jamie Frazier
- Home Health Aide
- Wooster, OH
National Provider Identifier
1932645488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0089816
- Practice address
- 3770 S Funk Rd
Wooster, OH 44691-9723 - Phone
- (330) 464-9651
- NPI assigned
- Jan 9, 2017
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 0089816 | OH | Primary |
Addresses
Primary practice location
3770 S Funk Rd
Wooster, OH 44691-9723
Mailing address
2091 S Elyria Rd
Wooster, OH 44691-9724
Phone (330) 464-9651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107536442099 | Medicaid | OH |
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 |
|---|---|---|---|
| 0089816 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1932645488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 S ELYRIA RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446919724",
"telephone_number": "330-464-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 S FUNK RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446919723",
"telephone_number": "330-464-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-09",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "0089816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107536442099",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.