Active NPI
Valerie Fredrick, D.C.
- Chiropractor
- Murray, KY
National Provider Identifier
1154470433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4965
- Practice address
- 913 Paradise Dr
Murray, KY 42071-5074 - Phone
- (270) 436-5916
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4965 | KY | Primary |
Addresses
Primary practice location
913 Paradise Dr
Murray, KY 42071-5074
Mailing address
913 Paradise Dr
Murray, KY 42071-5074
Phone (270) 436-5916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000488158 | Other | KY | KENTUCKY BLUE CROSS BLUE |
| 1231499 | Other | KY | CHA HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4965 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154470433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 PARADISE DR",
"city": "MURRAY",
"state": "KY",
"postal_code": "420715074",
"telephone_number": "270-436-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 PARADISE DR",
"city": "MURRAY",
"state": "KY",
"postal_code": "420715074",
"telephone_number": "270-436-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDRICK",
"first_name": "VALERIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BLUE CROSS BLUE",
"identifier": "000000488158",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA HEALTH",
"identifier": "1231499",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.