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Deactivated NPI 1245907419 Deactivated / Inactive NPI Female Practitioner

Tyra Frazier

Day Training, Developmentally Disabled Services • Lutz, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tyra Frazier has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2021
NPI Deactivation Date May 12, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Tyra Frazier was a registered Day Training, Developmentally Disabled Services practicing in Lutz, FL. Throughout an active medical career spanning 4 years, Tyra Frazier provided care at the practice location at 2909 NETWORK PL APT 203D until profile deactivation on 2025-05-12.

Practice Location & Contact Primary Location

Practice Address

2909 Network Pl Apt 203d

Lutz, FL 335593161

Telephone 7274909891

Specialty Benchmarks & Practice Insights

Comparative analytics for Day Training, Developmentally Disabled Services in Lutz, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Lutz, FL (414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Day Training, Developmentally Disabled Services Primary Specialty

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 12, 2025

Record deactivated on May 12, 2025

NPI Profile Active August 25, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2021

Registered at 2909 NETWORK PL APT 203D, LUTZ, FL 335593161 (Tel: 7274909891)

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Updated Business Mailing Address August 25, 2021

Registered at 2909 NETWORK PL APT 203D, LUTZ, FL 335593161

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Provider Name / Credentials Updated August 25, 2021

Recorded as TYRA FRAZIER

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2021

Day Training, Developmentally Disabled Services

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Initial NPI Registration & Enumeration August 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245907419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2021
Last Update: August 25, 2021
Deactivation Date: May 12, 2025

Mailing Address

2909 Network Pl Apt 203d

Lutz, FL 335593161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.