Individual provider Active NPI

Peter R Frazer, CRNA, ARNP

  • Certified Registered Nurse Anesthetist
  • Woodsville, NH
National Provider Identifier
1962480426
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
020434-23 Issued in NH
Practice address
90 Swiftwater Road
Cottage Hospital
Woodsville, NH 03785-2001
Phone
(603) 747-9000
Fax
(603) 747-0401
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0204342311 NH
Certified Registered Nurse Anesthetist 367500000X 020434-23 NH Primary
Nurse Practitioner 363L00000X 020434-23 NH

Addresses

Primary practice location

90 Swiftwater Road
Cottage Hospital
Woodsville, NH 03785-2001

Mailing address

PO Box 2001, 90 Swiftwater Road
Cottage Hospital
Woodsville, NH 03785-2001
Phone (603) 747-9000

Other identifiers 2

IdentifierTypeStateIssuer
ORE 2057MedicaidNH
ORE2057MedicaidNH

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)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
020434-23NHMDNurse Practitioner
0204342311NHMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1962480426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2001, 90 SWIFTWATER ROAD",
            "address_2": "COTTAGE HOSPITAL",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037852001",
            "telephone_number": "603-747-9000",
            "fax_number": "603-747-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SWIFTWATER ROAD",
            "address_2": "COTTAGE HOSPITAL",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037852001",
            "telephone_number": "603-747-9000",
            "fax_number": "603-747-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "PETER",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "0204342311",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "020434-23",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "020434-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ORE 2057",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ORE2057",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsville, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.