DESHALA FRAZIER (NPI# 1356886196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356886196 |
| Entity Type | Individual |
| Full Name | DESHALA FRAZIER |
| Credential | RN |
| Practice Address |
454 Ne Celosia Dr Madison FL 32340-4161 |
| Practice Telephone | 8508699474 |
| Practice Fax Number | 8509732203 |
| Mailing Telephone | 8508699474 |
| Mailing Fax Number | 8509732203 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN9303538 | FL | Nursing Service Providers |
| Street Address |
454 NE CELOSIA DR |
| City | MADISON |
| State | FL |
| Zip Code | 32340-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987358 | Ofonmbuk Ukoeninn | Registered Nurse | 401 N High Point Rd, Madison, WI 53717-1849 | 2019-11-25 |
| 1598287278 | Valerie Ann Sency | Registered Nurse | 4033 Dayton Rd, Madison, OH 44057-9766 | 2017-07-13 |
| 1275068157 | Rebecca Olson | Registered Nurse | 1026 Morraine View Dr, Madison, WI 53719-3017 | 2017-04-27 |
| 1134667025 | Jillian Reppond | Registered Nurse | 123 Mason Way, Madison, MS 39110-6817 | 2017-02-10 |
| 1629437439 | Nicole J Helmholdt | Registered Nurse | 641 W Main St Apt 105, Madison, WI 53703-2695 | 2016-02-22 |
| 1740680180 | Jonathan Long | Registered Nurse | 1707 Rowland Ave # 1, Madison, WI 53704-4109 | 2014-09-03 |
| 1760803092 | Jamie Elizabeth Reno | Registered Nurse | 309 E Dean Ave, Madison, WI 53716-2105 | 2014-01-06 |
| 1831430214 | Merta Maaneb De Macedo | Registered Nurse | 3710 Odana Rd, Madison, WI 53711-1740 | 2013-03-08 |
| 1780935460 | Lynn M Heidemann | Registered Nurse | 203 Ski Ct, Unit D, Madison, WI 53713-4604 | 2012-09-21 |
| 1437418779 | Ashley Bea Veigel | Registered Nurse | 3413 Brighton Pl, Madison, WI 53713-2842 | 2012-05-07 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.