Active NPI
Julie Frederick
- Developmental Therapist
- Noblesville, IN
National Provider Identifier
1336621465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 10340 Pleasant St Ste 100
Noblesville, IN 46060-3947 - Phone
- (812) 219-5426
- NPI assigned
- Sep 5, 2018
- Last updated
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
10340 Pleasant St Ste 100
Noblesville, IN 46060-3947
Mailing address
12213 Carriage Stone Dr
Fishers, IN 46037-8515
Phone (812) 219-5426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1336621465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12213 CARRIAGE STONE DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460378515",
"telephone_number": "812-219-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10340 PLEASANT ST STE 100",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603947",
"telephone_number": "812-219-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Noblesville, IN
- Megan A Foster, RN
- Mitchell Foster, M.D.
- Brayana N Fowler, ATC
- Kelli J Franz, M.S., L.M.H.C.
- Allison L Frayer, N.P.
- Kathryn Freeman
- Fresenius Medical Care Indiana, LLC (Fresenius Medical Care Noblesville)
- Friedman Dentistry PC (Family Dental Innovations)
- Cherryl Gritzbaugh Friedman, M.D.
- Jeremy Adam Friedman, D.D.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.