Elizabeth Anne Frade
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Marion, MA
NPI 1992469944 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1992469944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2282217 (MA)
- Practice address
- 156 Front St # 2
Marion, MA 02738-1501 - Phone
- (508) 748-3736
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241107000229 | MA | Practitioner - Nurse Practitioner | 2668906124 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2282217 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seahorse Behavioral, Inc. | Single Specialty | Current |
Accepting new patients |
Interoperability endpoints
- elizabeth.frade.1@29869.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | RN2282217 | MA | Yes |
Addresses
Primary practice location
156 Front St # 2
Marion, MA 02738-1501
Mailing address
16 Bishop Rd
Rochester, MA 02770-1802
Phone (508) 566-0070
Other practice location 1
16 Bishop Rd
Rochester, MA 02770-1802
Phone (508) 566-0070
Other names
- Elizabeth Anne Roda
Other providers in Marion, MA
- Cornelia Reid Dougall
- Jennifer F Eames
- Elizabeth G Farley
- Joshua Fischer
- Willie Henry Ford Jr.
- Kirsten Ann Garlington
- Gleason & Greenfield Pediatrics, PC
- Suzanne Gokavi
- Darlene E. Goll
- Felicia Grant
All providers in Marion, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.