Kimberly Frederick, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN193878 Issued in OH

Practice address

799 Lexington Ave
Mansfield, OH 44907-1906

Phone

(419) 756-5133

Fax

(419) 774-9707

NPI assigned

Sep 22, 2005

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Ohiohealth Corporation

  dba OhioHealth Physician Group Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105

  Nurse Anesthetist, Certified Registered

  NPD
• Ohiohealth Corporation

  dba OhioHealth Physician Group, Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  NPD
• Ashland Anesthesia, PSC. Inc.

  • Anesthesiology Physician
  • Ashland, OH
  • NPI 1669432084
  NPD (past)
• Medcentral Professional Association Inc.

  • Anesthesiology Physician
  • Mansfield, OH
  • NPI 1306878863
  NPD (past)
• Novato Dermatology Associates a Medical Corporation

  • Dermatology Physician
  • Novato, CA
  • NPI 1003960063
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427044726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SAMARITAN AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053927",
            "telephone_number": "419-756-5133",
            "fax_number": "419-774-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071906",
            "telephone_number": "419-756-5133",
            "fax_number": "419-774-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN193878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2290668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary James Frantz, M.D.
• Bruce A Frasz, DDS
• Angela Frazier
• Ellen Elizabeth Frazier, PA-C
• Heather Marie Frazier, RN
• Ryan Freehafer
• Gary S. Freeman, M.D.
• Debra M. Freimark, P.T.
• Frescia Poth LLC
• Megan Freshly, RN

• Certified Registered Nurse Anesthetist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.