HEATHER JANEL FRAZIER (NPI# 1518409812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518409812 |
| Entity Type | Individual |
| Full Name | HEATHER JANEL FRAZIER |
| Credential | NP-C |
| Practice Address |
2121 Lake Ave Fort Wayne IN 46805-5100 |
| Mailing Address |
8718 Illinois Rd Fort Wayne IN 46804-5746 |
| Practice Telephone | 2604265431 |
| Mailing Telephone | 2604033725 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71006702A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013290014 | Heather L Frazier | Pharmacist | 6310 South Hwy 85-87, Fountain, CO 80817 | 2011-09-26 |
| 1851571129 | Heather Marie Frazier | Registered Nurse | 2370 Owens Rd, Mansfield, OH 44904-9754 | 2007-11-05 |
| 1730790429 | Heather Joy Frazier | Behavioral Analyst | 42 Somerset Dr, Willingboro, NJ 08046-1414 | 2020-08-14 |
| 1538382932 | Heather Frazier | Social Worker | 4615 Government St, Building 2, Baton Rouge, LA 70806-5820 | 2007-04-11 |
| 1104846369 | Heather B Frazier | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-07-20 |
| Street Address |
2121 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021100 | Karen F Sloane | Podiatrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2005-05-24 |
| 1346848348 | Jodi Lyn Van Veld | Occupational Therapist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-10-12 |
| 1346854213 | Amy Solaro | Social Worker | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-09-08 |
| 1144831116 | Ann Marie Brunner | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-13 |
| 1871104042 | Lynne Koch | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1790396950 | Joseph Amin Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1144831678 | Youlijan Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-10 |
| 1881204139 | Lawrence Ejiofo | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-03 |
| 1821606575 | Nazret Tecle | Optometrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-07-20 |
| 1689291619 | Adam Kreiger | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1558960179 | Omolola Beaird | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-10-24 |
| 1104473255 | Linzie A Howard | Nurse Practitioner | 3010 Independence Dr, Fort Wayne, IN 46808-1328 | 2019-08-23 |
| 1154809036 | Amy Marie Harmeyer | Nurse Practitioner | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 | 2018-08-01 |
| 1205115649 | Carol A Stults | Nurse Practitioner | 5649 Coventry Ln, Fort Wayne, IN 46804-7145 | 2011-08-16 |
| 1649461005 | Sarah D Heck | Nurse Practitioner | 4666 W Jefferson Blvd, Suite 140, Fort Wayne, IN 46804-6892 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1235634221 | Laura D Cannon | Nurse Practitioner | 6375 U S Hwy 6, Portage, IN 46368-5218 | 2018-03-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on HEATHER JANEL FRAZIER.
| 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.