Kimberly Bass Fredericks, BS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

400 Veterans Ave
(116B)
Biloxi, MS 39531-2410

Phone

(228) 523-4241

Fax

(228) 523-4675

NPI assigned

Jul 24, 2006

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 names 1

• Ms. Kimberly Vinet Bass Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285656348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 GEORGIA AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395017541",
            "telephone_number": "228-868-1378",
            "fax_number": "228-523-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "address_2": "(116B)",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "228-523-4241",
            "fax_number": "228-523-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "KIMBERLY",
        "middle_name": "BASS",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BASS",
            "middle_name": "VINET",
            "prefix": "MS.",
            "credential": "BS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Francis, PHARMD
• Mark Lee Francis, CRNA
• Sara J Franklin, AU.D.
• David Alan Franks, PSYD
• McKenzie Frederick
• Freedom Reigns Christian Counseling Services
• Allison Freeman
• Megan K Freund, DNP, CRNA
• Dennis C Furey, DMD
• Christopher Gable, CTRS

• All providers in Biloxi, MS
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.