Active NPI
Peter R Frazer, CRNA, ARNP
- Certified Registered Nurse Anesthetist
- Woodsville, NH
National Provider Identifier
1962480426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 020434-23
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ORE 2057 | Medicaid | NH | |
| ORE2057 | Medicaid | NH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 020434-23 | NH | MD | Nurse Practitioner |
| 0204342311 | NH | MD | Nurse 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.