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OCTAVIA SHATISE FRAZIER-PORTER
NPI 1750170064
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since May 02, 2025
300 CRITTENDEN BLVD, ROCHESTER, NY 14642(585) 275-3563 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Octavia Shatise Frazier-porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCTAVIA SHATISE FRAZIER-PORTER (NPI 1750170064) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1750170064
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOCTAVIA SHATISE FRAZIER-PORTER
Location Address300 CRITTENDEN BLVDRochester, NY 14642-0001
Mailing Address16 Marshall St Apt 1fIrvington, NJ 07111-3627 · (718) 650-0398
Phone(585) 275-3563
Sole ProprietorNo
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1750170064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 CRITTENDEN BLVD, Rochester, NY 14642
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AILEEN ALDALUR PHD
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
LINDA ALPERT-GILLIS PH.D.
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733
LAUREN MUTIGNANI PHD
Psychologist (Clinical Child & Adolescent)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-2100
MARGARET CANDLER
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
ARJENA VALLS PALACIOS REESE
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
PETER C. BRITTON PH.D.
Psychologist (Clinical)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-5488
DR. EUGENIO CONTRERAS IV M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-4501
BETH GOLDENBERG NP
Nurse Practitioner
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavia Frazier-porter's NPI number?

The NPI number for Octavia Frazier-porter is 1750170064. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Octavia Frazier-porter located?

Octavia Frazier-porter practices at 300 Crittenden Blvd, Rochester, NY 14642. The listed phone number is (585) 275-3563.

What is Octavia Frazier-porter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Octavia Frazier-porter was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.