Ida Lee Fraser, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP 01698 Issued in NM

Practice address

2402 W Pierce St
Suite 4a
Carlsbad, NM 88220-3537

Phone

(575) 234-9964

Fax

(575) 234-3438

NPI assigned

Nov 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1982905683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST",
            "address_2": "SUITE A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203537",
            "telephone_number": "575-234-9964",
            "fax_number": "575-234-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST",
            "address_2": "SUITE 4A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203537",
            "telephone_number": "575-234-9964",
            "fax_number": "575-234-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "IDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP 01698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra I. Florez, MOTR/L
• Lyle Rey Folsom, DPM
• Erin L Fox
• David F Fran, MD
• Yvette Marie Franco, RN
• Stephen M Freeborn, CRNA
• Jamie C Freeman
• Donna E. French, LADAC
• Benjamin Freston, P.T.
• Cherry Tiffany Frintz, FNP-C

• Family Nurse Practitioner in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.