MRS. IDA LEE FRASER (NPI# 1982905683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982905683 |
| Entity Type | Individual |
| Full Name | MRS. IDA LEE FRASER |
| Credential | CNP |
| Practice Address |
2402 W Pierce St Suite 4a Carlsbad NM 88220-3537 |
| Mailing Address |
2402 W Pierce St Suite A Carlsbad NM 88220-3537 |
| Practice Telephone | 5752349964 |
| Practice Fax Number | 5752343438 |
| Mailing Telephone | 5752349964 |
| Mailing Fax Number | 5752343438 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 01698 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2402 W PIERCE ST SUITE 4A |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178338 | Joseph Daniel Cross | Pharmacist | 2402 W Pierce St, Suite 1a, Carlsbad, NM 88220-3537 | 2005-07-15 |
| 1306392097 | Madeleine Drummond | Nurse Practitioner | 2402 W Pierce St, Suite 2a, Carlsbad, NM 88220-3537 | 2016-08-31 |
| 1073983011 | Crystal Mullins | Nurse Practitioner | 2402 W Pierce St, Suite 6a, Carlsbad, NM 88220-3537 | 2015-10-02 |
| 1265835284 | Apoorva Reddy Tiparti | Pharmacist | 2402 W Pierce St, Suite 1a, Carlsbad, NM 88220-3537 | 2014-10-05 |
| 1104167477 | Jill Fierro | Nurse Practitioner | 2402 W Pierce St, Ste 4a, Carlsbad, NM 88220-3537 | 2013-03-11 |
| 1942554480 | Sandya Surgical Associates | Surgery | 2402 W Pierce St, Suite 5c, Carlsbad, NM 88220-3537 | 2012-11-06 |
| 1245519115 | Raney Pediatrics | Pediatrics | 2402 W Pierce St, Suite 3 C, Carlsbad, NM 88220-3537 | 2011-08-10 |
| 1912216755 | Sophia Ann Villalobos | Nurse Practitioner | 2402 W Pierce St, Suite 6f, Carlsbad, NM 88220-3537 | 2010-09-28 |
| 1699918672 | Pecos Valley of New Mexico LLC | Durable Medical Equipment & Medical Supplies | 2402 W Pierce St, Suite 6e, Carlsbad, NM 88220-3537 | 2009-04-07 |
| 1285812990 | Dilip D. Madnani, M.d., LLC | Otolaryngology | 2402 W Pierce St, Suite 3c, Carlsbad, NM 88220-3537 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092460 | Jennifer Anne Tupper | Nurse Practitioner | 2420 W Pierce St Ste 100, Carlsbad, NM 88220-3517 | 2020-01-08 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1891252318 | Stacy Thompson | Nurse Practitioner | 3610 Village Dr Apt A, Carlsbad, CA 92008-3362 | 2019-02-21 |
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1689145278 | Angela Bidlack | Nurse Practitioner | 6438 Opal Way, Carlsbad, CA 92011-1241 | 2018-12-08 |
| 1548744899 | Li Li | Nurse Practitioner | 2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566 | 2018-09-22 |
| 1083120760 | Shannon L Roper | Nurse Practitioner | 110 S Halagueno St Ste 8, Carlsbad, NM 88220-5748 | 2017-12-18 |
| 1396259172 | Masoud Nadi | Nurse Practitioner | 5938 Priestly Dr Ste 102a, Carlsbad, CA 92008-8847 | 2017-12-01 |
| 1285144642 | Reagan Shea Leyva | Nurse Practitioner | 2402 W Pierce St Ste 2a, Carlsbad, NM 88220-3568 | 2017-10-11 |
| 1184152753 | Rica Elizabeth Davis | Nurse Practitioner | 6260 El Camino Real Ste 204, Carlsbad, CA 92009-1609 | 2017-05-26 |
| Find all providers in CARLSBAD | ||||
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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.