EMILY FRAGAPANE
Complete NPI Record 1497153894
Student in an Organized Health Care Education/Training Program in Westerville, OH

NPI Status: Active since December 17, 2014

Contact Information

187 W SCHROCK RD
WESTERVILLE, OH
ZIP 43081
Phone: (614) 355-8315
Fax: (614) 355-8361

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Complete NPI Dataset

This page represents the complete record for NPI 1497153894. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1497153894
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider First Name: EMILY
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Line Business Mailing Address: DEPT 781625
The first name of the provider, if the provider is an individual.
Provider Business Mailing Address City Name: DETROIT
The middle name of the provider, if the provider is an individual.
Provider Business Mailing Address State Name: MI
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Business Mailing Address Postal Code: 482781625
Other last name by which the provider being identified is or has been known.
Provider Business Mailing Address Country Code If outside U S : US
Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
Provider Business Mailing Address Telephone Number: 6143558004
Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
Provider Business Mailing Address Fax Number: 6143552220
The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider First Line Business Practice Location Address: 187 W SCHROCK RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: WESTERVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: OH
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 430812890
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 6143558315
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 6143558361
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 12/17/2014
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 12/17/2014
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 390200000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 2846675
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: OH
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No