Leigh Anne Fredholm, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

J4126 Issued in TX

Practice address

8107 Springdale Rd Ste 110
Austin, TX 78724-2437

Phone

(512) 651-8644

Fax

(512) 651-8635

NPI assigned

Jun 22, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leigh.fredholm@wellmed.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486

  Family Medicine

  Medicare reassignment NPD
• Wellmed Networks, Inc.

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1386948677
  Medicare reassignment NPD
• Wellmed Medical Group, P.a.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD
• Central Texas Palliative Care Associates

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1487686226
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1265478598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 SPRINGDALE RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787242437",
            "telephone_number": "512-651-8644",
            "fax_number": "512-651-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 SPRINGDALE RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787242437",
            "telephone_number": "512-651-8644",
            "fax_number": "512-651-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6406 N Interstate 35 Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787524337",
            "country_code": "US",
            "telephone_number": "512-651-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDHOLM",
        "first_name": "LEIGH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4126",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "J4126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135697410",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135697409",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "8DL499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaycee Power Frederick, NP
• Mackenzie Frederick, RD
• Josephina Shea Fredericks
• Delora Marie Frederickson
• Ashlyn Archer Frederiksen, PA-C
• Theresa Fredley, MS, FAAOMPT
• Fredrick Shaw DDS, PC
• Kimberly Diane Fredrick, LPC
• Fredrickson Anesthesia Staffing Inc.
• Elizabeth A Fredrickson, LCSW

• Hospice and Palliative Medicine (Family Medicine) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.