Individual provider Active NPI

Heather M Fraysier, NP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1962098285
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26138 Issued in TN
Practice address
2008 Brookside Dr FL 2
Kingsport, TN 37660-4640
Phone
(423) 343-7801
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26138 TN Primary

Addresses

Primary practice location

2008 Brookside Dr FL 2
Kingsport, TN 37660-4640

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201231001859 TN Practitioner - Nurse Practitioner 4981017373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

2008 Brookside Dr
FL 2
Kingsport, TN 37660-4640
Phone (423) 343-7801

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26138TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Apr 1, 2022 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Feb 27, 2022 Accepting new patients
Holston Medical Group PC CurrentSince Aug 21, 2024 Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

2008 Brookside Dr
Fl Second
Kingsport, TN 37660
Phone (423) 343-7801

2008 Brookside Dr
Fl 2
Kingsport, TN 37660
Phone (423) 343-7801

444 Clinchfield St
Ste 2800
Kingsport, TN 37660
Phone (423) 230-2801

444 Clinchfield St
Ste 2900
Kingsport, TN 37660
Phone (423) 245-6101

444 Clinchfield St
Ste 2500
Kingsport, TN 37660
Phone (423) 230-2500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1962098285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066",
            "fax_number": "423-230-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 BROOKSIDE DR FL 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604640",
            "telephone_number": "423-343-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAYSIER",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.