Active NPI
Sierra Lynn Frederick, RN
- Registered Nurse
- Morgantown, WV
National Provider Identifier
1356220487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 120643
- Practice address
- 30 Mon General Dr
Morgantown, WV 26505-2853 - Phone
- (304) 598-5151
- NPI assigned
- Sep 2, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 120643 | WV | Primary |
Addresses
Primary practice location
30 Mon General Dr
Morgantown, WV 26505-2853
Mailing address
15 Sabina St
Fairmont, WV 26554-4974
Phone (304) 694-2820
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120643 | WV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1356220487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SABINA ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265544974",
"telephone_number": "304-694-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MON GENERAL DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052853",
"telephone_number": "304-598-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "SIERRA",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "120643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.