Julie L Frederiksen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115193 Issued in NC

Practice address

4024 Oleander Dr Ste 101
Wilmington, NC 28403-6814

Phone

(910) 762-2270

Fax

(910) 444-3296

NPI assigned

Jan 2, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Mean Health, PLLC

  • Adult Mental Health Clinic/Center
  • Wilmington, NC
  • NPI 1225538267
  NPD Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1396802161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 OLEANDER DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036814",
            "telephone_number": "910-762-2270",
            "fax_number": "910-444-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 OLEANDER DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036814",
            "telephone_number": "910-762-2270",
            "fax_number": "910-444-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERIKSEN",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "115193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00042707",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally C Freas, RN, CDE
• Benjamin Todd Freasier, MD
• Mary Gena Frederick, M.D.
• Princess Cemone Frederick, LCMHC, NCC
• Shari Nicole Frederick
• Karl Frederiksen, PHARMD
• Stephen John Free, PAC MPAS
• Freedom Therapy Services II LLC (Freedom Therapy Services)
• Freedom Therapy Services, LLC.
• Christa Chanell Freel

• Family Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.