Individual provider Active NPI

Valerie Janene Fredrickson, DO

  • Family Medicine Physician
  • Kennewick, WA
National Provider Identifier
1437738457
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61583573 Issued in WA
Practice address
7211 W Deschutes Ave Ste B
Kennewick, WA 99336-7715
Phone
(509) 221-6930
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP61583573 WA Primary

Addresses

Primary practice location

7211 W Deschutes Ave Ste B
Kennewick, WA 99336-7715

Mailing address

7211 W Deschutes Ave Ste B
Kennewick, WA 99336-7715
Phone (509) 221-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930001637 WA Practitioner - Family Practice 2961853403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians

Practice addresses (Care Compare)

7211 W Deschutes Ave
Suite B
Kennewick, WA 99336-7715
Phone (509) 221-6930

Hospital & facility affiliations

  • Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
  • Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • Lourdes Medical Center Hospital, Pasco, WA, CCN 501337
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
RCCH Trios Health LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

320 W 10th Ave
Ste 202
Kennewick, WA 99336
Phone (509) 221-5520

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

7211 W Deschutes Ave
Ste B
Kennewick, WA 99336
Phone (509) 221-6930

Interoperability endpoints

  • Direct secure messaging: valerie.fredrickson.1@18485.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1437738457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-221-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-221-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "VALERIE",
        "middle_name": "JANENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61583573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.