Active NPI
Jiame Lynn Frazier, ATC
- Athletic Trainer
- Philipsburg, PA
National Provider Identifier
1952508624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT002388A
- Practice address
- 103 W Maple St
Philipsburg, PA 16866-2200 - Phone
- (814) 342-8304
- Fax
- (814) 342-8305
- NPI assigned
- Jun 27, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT002388A | PA | Primary |
Addresses
Primary practice location
103 W Maple St
Philipsburg, PA 16866-2200
Mailing address
45 Shade Hollow Rd
Mill Hall, PA 17751-8641
Phone (570) 726-7232
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 |
|---|---|---|---|
| RT002388A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952508624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SHADE HOLLOW RD",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177518641",
"telephone_number": "570-726-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W MAPLE ST",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168662200",
"telephone_number": "814-342-8304",
"fax_number": "814-342-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "JIAME",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT002388A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philipsburg, PA
- Expressions Counseling Services LTD.
- Jennifer Fenton
- Wanda Lisa Ferguson, COTA/L
- Stephanie Fozard, O.D.
- Macey Elizabeth Frank, CRNP
- Fresenius Medical Care Dubois, LLC (Fresenius Medical Care North Philipsburg)
- Anthony Joseph Froncillo, D.O.
- Jennifer Elizabeth Fustine
- William Craig Gabel, LPC
- Gabriel T. Mancuso, DMD PLLC (Philipsburg Dental Partners)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.