Jamie Lynn Frick, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902920 Issued in MS

Practice address

620 W Old Covered Bridge Rd
Cherokee, AL 35616-4212

Phone

(256) 762-4749

NPI assigned

Sep 26, 2018

Sex

Male

Sole proprietor

No

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.

• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Family, MS

  Medicare reassignment NPD
• Tishomingo Health Services, Inc.

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700

  MS

  Medicare reassignment NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Medical Clinics Inc

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD
• Tishomingo Health Services, Inc.

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD
• Tishomingo Health Services, Inc.

  • Pulmonary Disease Physician
  • Iuka, MS
  • NPI 1659254639
  NPD

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamiefrick@nmhs.medalliesdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2018.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1972088920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W OLD COVERED BRIDGE RD",
            "city": "CHEROKEE",
            "state": "AL",
            "postal_code": "356164212",
            "telephone_number": "256-762-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W OLD COVERED BRIDGE RD",
            "city": "CHEROKEE",
            "state": "AL",
            "postal_code": "356164212",
            "telephone_number": "256-762-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Magnolia Way",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MS",
            "postal_code": "388286000",
            "country_code": "US",
            "telephone_number": "662-317-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRICK",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-159359",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "906169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherokee Family Clinic, LLC
• Cherokee Rescue Squad
• Carol J Davis, CRNP
• Diane Lee Kelley, CRNP
• Paley Lauck
• Peoples Drugs & Variety,Inc.
• Peoples Home Care LLC
• Leona Carol Rose, CRNP

• All providers in Cherokee, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.