Individual provider Active NPI

Janice Marie Frederick, HIS

  • Hearing Instrument Specialist
  • Glen Allen, VA
National Provider Identifier
1043268162
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2101002102 Issued in VA
Practice address
10831 W Broad St
Hearing Concepts
Glen Allen, VA 23060
Phone
(804) 716-6752
Fax
(804) 716-6754
NPI assigned
May 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001136796 VA
Hearing Instrument Specialist 237700000X 2101002102 VA Primary

Addresses

Primary practice location

10831 W Broad St
Hearing Concepts
Glen Allen, VA 23060

Mailing address

10831 W Broad St
Glen Allen, VA 23060-3311
Phone (804) 716-6752

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001136796VAMDRegistered Nurse
2101002102VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Concepts, Inc. CurrentSince Jul 24, 2022 Accepting new patients
JC Hearing Inc. Hearing Instrument Specialist CurrentSince Jun 29, 2025 Accepting new patients

Locations

100 Sullivan St
Unit 112
Punta Gorda, FL 33950
Phone (239) 209-7222

10831 W Broad St
Glen Allen, VA 23060
Phone (804) 716-6731

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043268162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10831 W BROAD ST",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603311",
            "telephone_number": "804-716-6752",
            "fax_number": "804-716-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10831 W BROAD ST",
            "address_2": "HEARING CONCEPTS",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-716-6752",
            "fax_number": "804-716-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001136796",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.