Lillie Minette Frederick, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F12210791 Issued in AL

Practice address

300 Sun Temple Dr
Madison, AL 35758-5919

Phone

(256) 325-9111

NPI assigned

Jul 1, 2022

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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.

• HH Health System - the Orthopaedic Center, LLC

  dba The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1376220822
  Medicare reassignment Care Compare group NPD
• North Alabama Medical Clinic PC

  • Internal Medicine Physician
  • Madison, AL
  • NPI 1902049596
  Medicare reassignment NPD
• The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1205880291
  Medicare reassignment NPD

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

• HH Health System - Jackson LLC

  dba Highlands Medical Center

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1467185082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585919",
            "telephone_number": "256-325-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585919",
            "telephone_number": "256-325-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "LILLIE",
        "middle_name": "MINETTE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "F12210791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundations Nutrition & Lifestyle Counseling, LLC
• Four Pillars Counseling & Consulting, LLC
• Shannon Marie Fowler, NP
• Kalhil Ifor Franklin, LCISW
• Susan T Franklin, RN
• Freds Stores of Tennessee Inc (Freds Pharmacy 1944)
• Jennifer Ann French, MSW
• Frendi Family Dentistry, P.C.
• Lucyna Olkowska Frendi, D.M.D.
• Fresenius Medical Care Madison Home, LLC (Fresenius Kidney Care Madison Home)

• Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.