Cassondra Vaun Fredricks, RN, BAN, MBA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

10042991 Issued in OR

Practice address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302

Phone

(503) 941-3077

Fax

(503) 416-4553

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1225935943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17396 SW JAY ST APT 103",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970037643",
            "telephone_number": "503-941-3077",
            "fax_number": "503-416-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3077",
            "fax_number": "503-416-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 NW 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "OR",
            "postal_code": "970133601",
            "country_code": "US",
            "telephone_number": "503-416-4547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICKS",
        "first_name": "CASSONDRA",
        "middle_name": "VAUN",
        "credential": "RN, BAN, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R44105",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10042991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Claire Frederick, M.D.
• Nikki Frederick, PH.D.
• Erin Fredericks, MSCN
• Linda Joyce Thimsen Fredericks, FNP
• Melissa Fredette, PH.D.
• Alix Fredrickson, RPH
• Amanda Kristine Fredrickson, R.D.
• Annalisa Fredrickson
• Knute A Fredrickson, DMD
• Free Spirits Therapy LLC

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.