Nicole Lea Frederick, DNP, APRN,ACCNS-AG

Primary specialty

Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X

License

31465 Issued in TX

Practice address

2001 Thistle Park Dr Apt 5105
Fort Worth, TX 76110-1651

Phone

(817) 907-6953

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1033768866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 THISTLE PARK DR APT 5105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101651",
            "telephone_number": "817-907-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 THISTLE PARK DR APT 5105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101651",
            "telephone_number": "817-907-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "NICOLE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN,ACCNS-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "TX",
            "license": "31465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyndi C Frazier, LPC
• Cynthia Frazier, LPC
• Garrett Michael Frazier, D.O.
• Fred L. Spradley, D.D.S., M.S.D., P.a.
• Stephanie Fredeking
• Kristin Jo Frederiksen, L.M.S.W.
• Fredric D Johnson MD PA
• Rhett Keyser Fredric, MD
• Chelsea Victoria Fredrick, SLP
• Free to Be Counseling PLLC

• Clinical Nurse Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.