Melissa Kayla Frederick, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

13623 Issued in KS

Practice address

602 Huebner Rd
Fort Riley, KS 66442-4030

Phone

(785) 240-7411

NPI assigned

Jun 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1225871411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24404 HIGHFLY CIR APT 1",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424706",
            "telephone_number": "301-653-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-240-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "MELISSA",
        "middle_name": "KAYLA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "26826",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "13623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaelyn Floyd, OTD, OTR/L, CHT
• Marcia Reed Flugsrud-Breckenridge, MD,PHD
• Kerry Flynn Markowsky, PA-C
• Lori Fortin
• Roy Joseph Fowler, OTR
• Klaus Freeland, M.D.
• Jane Freyenberger, RD, LD
• Heather Lynnette Frisbie, C.R.N.A.
• Yang Fu, X2
• Christina Suzanne Fullmer, DO

• Dental Hygienist in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Dental Hygienist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.