Individual provider Active NPI

Levi Lloyd Fredritz, FNP-C

  • Occupational Health Nurse Practitioner
  • Athens, OH
National Provider Identifier
1245841659
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
APRN.CNP.0027106 Issued in OH
Practice address
75 Hospital Dr Ste 370
Athens, OH 45701-2867
Phone
(419) 340-7036
NPI assigned
Aug 11, 2020
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X APRN.CNP.0027106 OH Primary

Addresses

Primary practice location

75 Hospital Dr Ste 370
Athens, OH 45701-2867

Mailing address

6622 Sunbury Rd
Westerville, OH 43082-8215
Phone (419) 340-7036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200914002817 OH Practitioner - Nurse Practitioner 8628496221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Employer Services, LLC CurrentSince Aug 10, 2020 Accepting new patients

Locations

210 Sharon Rd
Ste B2
Circleville, OH 43113
Phone (740) 420-8354

5555 Cleveland Ave
Columbus, OH 43231
Phone (614) 788-5280

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

Organizations & group practices 1

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1245841659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 SUNBURY RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828215",
            "telephone_number": "419-340-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR STE 370",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012867",
            "telephone_number": "419-340-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRITZ",
        "first_name": "LEVI",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "OH",
            "license": "APRN.CNP.0027106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.