Jane A. Frederick, RN, MS,PHD

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN057224 Issued in GA

Practice address

1100 S Marietta Pkwy SE # Md9004
Marietta, GA 30060

Phone

(470) 578-7391

Fax

(470) 578-7161

NPI assigned

Nov 11, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science, Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1295062289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S MARIETTA PKWY SE # MD9004",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602855",
            "telephone_number": "470-578-7391",
            "fax_number": "470-578-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MARIETTA PKWY SE # MD9004",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "470-578-7391",
            "fax_number": "470-578-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Cobb Ave NW Rm 2401",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301445563",
            "country_code": "US",
            "telephone_number": "470-589-6600",
            "fax_number": "470-578-9102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JANE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "RN, MS,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN057224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timika Lashaun Frazier, D.C.
• Mary Amelia Frease, PHARMD
• Fred F Worrall, DDS, PC
• Bobby J Frederick, L.P.C.
• Gabriel David Frederick, LMFT, LPC
• Danielle Freeberg, R.T.(R)(ARRT)
• Susan Scott Freed, PT
• Peggy A Freedman, OTR/L
• Rick Freedman
• Erin Kathleen Freel, DPT

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.