Individual provider Active NPI

Cynthia Gail Frederick, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1235475039
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5022407 Issued in NC
Practice address
3801 Barrett Dr
Raleigh, NC 27609-7224
Phone
(919) 870-8409
Fax
(877) 622-8953
NPI assigned
Dec 25, 2012
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5022407 NC Primary
Family Nurse Practitioner 363LF0000X 1-080820 AL

Addresses

Primary practice location

3801 Barrett Dr
Raleigh, NC 27609-7224

Mailing address

3801 Barrett Dr
Raleigh, NC 27609-7224
Phone (919) 870-8409

Other identifiers 1

IdentifierTypeStateIssuer
2009009580OtherALAMERICAN NURSES CREDENTIALING CENTER

Other names 1

  • Ms. Cynthia Gail Donald Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC, NH, ID4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200730003865 AL Practitioner - Nurse Practitioner 8820413347 Reassigns benefits to 2 organizations
I20260113003494 NC Practitioner - Nurse Practitioner 8820413347 Reassigns benefits to 1 organization
I20260505001272 NH Practitioner - Nurse Practitioner 8820413347 Reassigns benefits to 1 organization
I20260508003198 ID Practitioner - Nurse Practitioner 8820413347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Barrett Dr
Raleigh, NC 27609-7169

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-080820ALMDFamily Nurse Practitioner
5022407NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mona R Gupta, DO Incorporated CurrentSince Nov 1, 2025 Accepting new patients
Mona R Gupta, DO Incorporated CurrentSince Dec 14, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince May 15, 2020 Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince May 15, 2020 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

4371 Narrow Lane Rd
Ste 201
Montgomery, AL 36116
Phone (334) 747-7740

510 W Williams St
Apex, NC 27502

8838 US Highway 70 W
Ste 700
Clayton, NC 27520
Phone (919) 553-5505

5518 NC Highway 55
Durham, NC 27713

2211 W Meadowview Rd
Ste 150
Greensboro, NC 27407

116 Gasoline Aly
Ste 105
Mooresville, NC 28117

3801 Barrett Dr
Raleigh, NC 27609
Phone (703) 999-4182

8304 Creedmoor Rd
Raleigh, NC 27613
Phone (919) 870-7645

12316 Hampton Way Dr
Wake Forest, NC 27587
Phone (336) 601-2447

Interoperability endpoints

  • Direct secure messaging: cynthia.frederick.1@18731.direct.athenahealth.com

Organizations & group practices 10

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": "1356393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235475039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097224",
            "telephone_number": "919-870-8409",
            "fax_number": "877-622-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CYNTHIA",
        "middle_name": "GAIL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-25",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5022407",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-080820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2009009580",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "DONALD",
            "middle_name": "GAIL",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.