Individual provider Active NPI

Lechia Frederick, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Eldersburg, MD
National Provider Identifier
1275923211
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R225396 Issued in MD
Practice address
1912 Liberty Rd SPC 30
Eldersburg, MD 21784-6690
Phone
(410) 861-0740
Fax
(434) 225-9723
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 2019095324 MD
Family Nurse Practitioner 363LF0000X R225396 MD Primary

Addresses

Primary practice location

1912 Liberty Rd SPC 30
Eldersburg, MD 21784-6690

Mailing address

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296
Phone (410) 861-0740

Other names 1

  • Lechia Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150713001197 MD Practitioner - Nurse Practitioner 9032421524 Reassigns benefits to 1 organization
Practice locations: Eldersburg, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1912 Liberty Rd
SPC 30
Eldersburg, MD 21784-6690
Phone (410) 861-0740

5457 Twin Knolls Rd
Suite 300
Columbia, MD 21045-3296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019095324MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lechia NP, Inc. Single Specialty CurrentSince Sep 9, 2021 Accepting new patients
Lechia NP, Inc. Psychiatric/Mental Health Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5457 Twin Knolls Rd
Ste 300
Columbia, MD 21045
Phone (410) 696-5142

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1275923211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "410-861-0740",
            "fax_number": "434-225-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 LIBERTY RD SPC 30",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846690",
            "telephone_number": "410-861-0740",
            "fax_number": "434-225-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "LECHIA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "2019095324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R225396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LECHIA",
            "last_name": "DAVIS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.