Active NPI
Lauren R Fredrickson
- School Psychologist
- Winchester, VA
National Provider Identifier
1457084238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LXF-0115-2879
- Practice address
- 1514 Amherst St
Winchester, VA 22601-2803 - Phone
- (540) 662-3888
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LXF-0115-2879 | AL | Primary |
Addresses
Primary practice location
1514 Amherst St
Winchester, VA 22601-2803
Mailing address
11708 Painted Hills LN
Tampa, FL 33624-6347
Phone (813) 481-8009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LXF-0115-2879 | AL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1457084238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11708 PAINTED HILLS LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336246347",
"telephone_number": "813-481-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012803",
"telephone_number": "540-662-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDRICKSON",
"first_name": "LAUREN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AL",
"license": "LXF-0115-2879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
- Frederick County BD of Supervisors
- Frederick County Dept. Social Services
- Frederick County Health Dept.
- Frederick County School Board
- Frederick Physician Services, LLC
- Free Medical Clinic of Northern Shenandoah Valley
- Linda Freeman, M.S. CCC-SLP
- Taylor Freeman
- Vicki Simmons Freilich, MD
- Jennifer Suzanne Freud, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.