Raheeman Joy Frederick

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

437958-1 Issued in NY

Practice address

561 E 82ND St
Brooklyn, NY 11236-3118

Phone

(646) 322-8385

NPI assigned

Feb 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517702400000",
    "number": "1457850562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 E 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363118",
            "telephone_number": "646-322-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363118",
            "telephone_number": "646-322-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "RAHEEMAN",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-04",
        "last_updated": "2018-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "437958-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayde Moira Frederick, LMSW
• Jessica Frederick, BA, CLC
• Joylyn Frederick
• Marva Frederick
• Murielle Frederick, FNP
• Renee Jwanza Frederick
• Shara Joanne Frederick, CM,LM,MS
• Arlene Lucille Fredericks, ACNP-BC
• Dale Fredericks
• Inna Fredericks

• School Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; 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.