Individual provider Active NPI

Charnette Patrice Frederick

  • Homemaker
  • Las Vegas, NV
National Provider Identifier
1013823418
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
2001 S Jones Blvd Ste H
Las Vegas, NV 89146-3165
Phone
(702) 367-0111
Fax
(702) 367-0140
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X
Personal Care Attendant 3747P1801X
Homemaker 376J00000X Primary

Addresses

Primary practice location

2001 S Jones Blvd Ste H
Las Vegas, NV 89146-3165

Mailing address

2001 S Jones Blvd Ste H
Las Vegas, NV 89146-3165
Phone (702) 367-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1013823418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S JONES BLVD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463165",
            "telephone_number": "702-367-0111",
            "fax_number": "702-367-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S JONES BLVD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463165",
            "telephone_number": "702-367-0111",
            "fax_number": "702-367-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CHARNETTE",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.