Individual provider Active NPI

Ashley Donia Fredrickson, N.P.

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1285040345
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991364-NP Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4597
Phone
(303) 436-4949
Fax
(303) 602-4550
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0991364-NP CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4597

Mailing address

4675 E 69TH Ave
Commerce City, CO 80022-2343
Phone (303) 289-1086

Other practice location 1

8030 Irving St
Westminster, CO 80031-4124
Phone (303) 428-4384

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CommerceCity@KFHC.ssdirect.aprima.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160314002173 CO Practitioner - Nurse Practitioner 1052533676 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0991364-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services CurrentSince Jan 5, 2016 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 26, 2025 Accepting new patients
Kids First Health Care CurrentSince Apr 1, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 26, 2025 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

777 Bannock St
#1923
Denver, CO 80204
Phone (303) 602-2720

777 Bannock St
Denver, CO 80204

4675 E 69th Ave
Denver, CO 80022
Phone (303) 289-1086

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Ste 203
Lafayette, CO 80026

1001 Yosemite St
Lowry, CO 80230
Phone (303) 436-4545

8990 Washington St
Thornton, CO 80229
Phone (720) 929-1655

8030 Irving St
Westminster, CO 80031
Phone (303) 428-4384

Interoperability endpoints

  • Direct secure messaging: afredrickson305979@direct.dhha.org

Organizations & group practices 6

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1285040345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 E 69TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800222343",
            "telephone_number": "303-289-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8030 Irving St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800314124",
            "country_code": "US",
            "telephone_number": "303-428-4384",
            "fax_number": "720-542-4027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "ASHLEY",
        "middle_name": "DONIA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991364-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CommerceCity@KFHC.ssdirect.aprima.com",
            "affiliation": "N",
            "endpointDescription": "Kids First Health Care Ashley Fredrickson Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "8030 Irving St",
            "city": "Westminster",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800314124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.