Lindsey Marie Fredericksen, A.R.N.P

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C-119097 Issued in IA

Practice address

40 E Hickman Rd
Waukee, IA 50263-5011

Phone

(515) 987-6610

Fax

(515) 216-2910

NPI assigned

Jan 7, 2013

Last updated

Jan 20, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lfredericksen14407@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1255678520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635011",
            "telephone_number": "515-987-6610",
            "fax_number": "515-216-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635011",
            "telephone_number": "515-987-6610",
            "fax_number": "515-216-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKSEN",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-119097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255678520",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fortitude & Freedom, PLC (Fortitude & Freedom Human Performance, PLC)
• Collin Foster, MD
• Devon L Foster, DO
• Diann Foster
• Imad F Francis, MD
• Freedom Home Care LLC
• Meagan Froehlich, LMFT
• Angela Funk
• Fusion Foot and Ankle, LLC
• Halli Getting, DPT

• Pediatric Nurse Practitioner in Waukee, IA
• Providers in Waukee, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.