MEDICARE: DEANNA LYNN FRAZIER AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235500000X	Speech/Language/Hearing Specialist/Technologist		KY
2	231H00000X	Audiologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1517926	OTHER	KY	UMWA
2	45-0004	OTHER	KY	UNITED HEALTHCARE
3	000000041650	OTHER	KY	BLUE CROSS BLUE SHIELD
4	311503268	OTHER	KY	HUMANA
5	88193	OTHER	KY	CHA
6	6541026	OTHER	KY	CIGNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508861048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA LYNN FRAZIER AU.D.

Provider Business Mailing Address
First Line	:	1036 AMBERLEY WAY STE A
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8979
Country	:	US
Telephone Number	:	859-972-9786
Fax Number	:	859-972-9794

Provider Business Practice Location Address
First Line	:	1036 AMBERLEY WAY STE A
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8979
Country	:	US
Telephone Number	:	859-972-9786
Fax Number	:	859-972-9794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/02/2021

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